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2 0 12 PRODUC T CATA LOG Ostomy Care Continence Care Bowel Care Tube Fasteners Wound Care

Hollister Mission Statement

To help healthcare professionals deliver better products and services, and to make life more rewarding and dignified for those who use our products.

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General Information

HCPCS Codes Disclaimer

The reimbursement information provided herein is intended to provide general information concerning coding of Hollister products only. Hollister does not guarantee coverage or payment for any products. The ultimate responsibility for proper coding, satisfying reimbursement requirements, and obtaining reimbursement remains with the provider. Coding and coverage policies and guidelines are complex, can vary from one carrier or region to another, and are updated frequently. Providers should check with their local carriers or intermediaries often and should consult with counsel, a reimbursement specialist, and/or the DMECS website for any coding, coverage, reimbursement, or billing questions. HCPCS codes shown in this Product Catalog are current as of 1-6-12.

Explanation of Third Party Code Reimbursement System (National Health Related Items Code)

To facilitate reimbursement of Hollister products, some Third Party Payment Programs require the use of an eleven-digit reimbursement number. Every Hollister manufactured product can be identified by an eleven-digit number. In general, the first five numbers identify the manufacturer's labeler code, and the last six numbers represent the product stock number. The labeler code for Hollister Incorporated is 08380. The labeler code for Hollister Wound Care LLC is 08567, and the labeler code for the Apogee product line is 08598. In order to utilize this coding system, follow these examples. To code a four-digit stock number: The Third Party Reimbursement Number for the Apogee 12 Fr Intermittent Catheter, Stock Number 1048 listed in the catalog on page 92, is: 08598-0010-48 08598 identifies Apogee. 0010-48 identifies the product Stock Number. To code a five-digit stock number: The Third Party Reimbursement Number for the New Image Drainable Pouch, Stock Number 18113 listed in the catalog on page 30, is: 08380-0181-13 08380 identifies Hollister Incorporated. 0181-13 identifies the product Stock Number. To code a six-digit stock number: The Third Party Reimbursement Number for the Restore Contact Layer Dressing with TRIACT Technology, Stock Number 509338 listed in the catalog on page 130, is: 08567-5093-38 08567 identifies Hollister Wound Care LLC. 5093-38 identifies the product Stock Number. Additionally, three products in the Hollister Wound Care line require an NDC number due to their Dimethicone-based nature. The labeler code for their OTC drug products is 42828. The three NDC numbers are listed below. NDC 42828-9977-02 42828-9978-03 42828-9979-01 2 Stock No. 529977 529978 529979 Description Restore Cleanser & Moisturizer, 7.5 oz Restore Cleanser & Moisturizer, 11.5 oz Restore Dimethicreme Skin Protectant, 4 oz

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Latex Statement

The specifications for the Hollister Continence Care products listed below include natural rubber latex as a component; our suppliers add natural rubber latex as part of the production process. If a Hollister product(s) found in this catalog is not listed below, the specification for that product(s) and packaging does not include natural rubber latex as a component, and our component suppliers do not add natural rubber as part of their production process.

Current Stock Numbers:

1051 1067 1084 9106 9107 9108 9109 9206 9207 9208 9209 9834 § 9835 § B12R B14R B16R B12RB B14RB B16RB

Discontinued Stock Numbers:

9606 * 9607 * 9608 * 9609 * 9626 * 9627 * 9628 * 9629 * 9636 9637 9638 9639 9656 9657 9658 9659 9803 9806 * 9807 * 9808 * 9809 * 9813 9816 9817 9818 9824 9825 9826 * 9827 * 9828 * 9829 * 9897 9898

How to Use The Hollister Products Catalog

Hollister has created this simplified Product Catalog to help our customers find what they need in a quick and efficient manner. If you... know the stock number (or stock series number) Go to the numeric index at the back of the catalog on pages 162­163 to find the page number where it appears. If you... know the product brand or series name Go to the Table of Contents on pages 9-10, 86, 106, 114 and 120 to find the page number where it appears or reference the Product Name Index on pages 164­166. If you... know the HCPCS code Go to the HCPCS Code Index at the back of the catalog on page 167.

Product Discontinued as of July 2007 Product Discontinued as of January 2009 * Product Discontinued as of September 2009 § As of February 2009, this product has been redesigned to exclude natural rubber latex either as a component or from the production process. The packaging/insert of the new non-latex version of the product will not contain a latex statement. Please verify the latex status of the individual product prior to use by reviewing the packaging and product insert for a latex statement. A latex statement indicates the product is from the previous latex version.

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Table of Contents

Ostomy Care Products ...................................................9 New Image Two-Piece Pouching System ................ 25 Premier One-Piece Pouching System ..................... 41 Pouchkins Pediatric Pouching System .................... 59 Ostomy Accessories................................................. 67 Continence Care Products .......................................... 86 Intermittent Catheters .............................................. 92 Male External Catheters ........................................... 95 Leg Bag Systems ..................................................... 96 Accessories.............................................................. 97 Collection Systems .................................................. 98 Bowel Care Products ................................................ 106 Bowel Catheter Systems........................................ 108 Bowel Care Accessories......................................... 109 Fecal Collectors ..................................................... 110 Tube Fastener Products ............................................ 114 Tube Fasteners ...................................................... 115 Hollister Wound Care Products ................................ 120 Hydrofera Blue Foam Dressings ........................... 129 Dressings with TRIACT Technology ....................... 130 Dressings with TRIACT ADVANCED Technology ... 133 Other Dressings ..................................................... 134 Skin Care ............................................................... 138 Educational Resources & Support ........................... 146 Stock Number Index ................................................. 162 Product Name Index ................................................. 164 HCPCS Code Index .................................................... 167 Hollister Contacts...........................................Back Cover

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Ostomy Care

Ostomy Care

Table of Contents · Ostomy Care Contents

Quick Reference for Product Selection .........................................11­16 New Image Two-Piece Pouching System Skin Barriers ....................11 New Image Two-Piece Pouching System Pouches ..........................12 New Image Two-Piece Pouching System Single-Use Kits ................13 Premier One-Piece Pouching System ........................................14­16 Premier One-Piece Pouching System Single-Use Kits ......................16 Medicare Utilization Chart ............................................................17­20 New Image Two-Piece Pouching System....................................25­35 Flat Skin Barriers with Integrated Floating Flanges ......................25­27 Convex Skin Barriers with Integrated Floating Flanges.................28­29 Drainable Pouches.....................................................................30­31 High Output Drainable Pouches........................................................32 Closed Pouches.........................................................................32­33 Irrigator Sleeve ................................................................................33 Urostomy Pouches...........................................................................33 Non Sterile Kits -- Drainable ...........................................................34 Non Sterile Kits -- Urostomy ...........................................................34 Sterile Kits -- Drainable ..................................................................35 Sterile Kits -- Urostomy ..................................................................35 Premier One-Piece Pouching System..........................................41­53 Drainable Pouches with Flat Barriers ..........................................41­46 Drainable Pouches with Convex Barriers.....................................46­47 High Output Drainable Pouches........................................................48 Hollister Universal Catheter Access Port ...........................................49 Wound Drainage Collectors ..............................................................49 Closed Pouches.........................................................................50­51 Stoma Cap ......................................................................................51 Urostomy Pouches with Flat Barriers ................................................51 Urostomy Pouches with Convex Barriers...........................................52 Non Sterile Kits -- Drainable .....................................................52­53 Non Sterile Kits -- Urostomy ...........................................................53

Secure Start services are here for your patients every step of the way.

Learn more on page 145

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Pouchkins Pediatric Pouching System ..............................................59 Premie Pouch..................................................................................59 Newborn Pouch ...............................................................................59 One-Piece Pouches ...................................................................59­60 Two-Piece Skin Barrier ....................................................................60 Two-Piece Pouches ...................................................................60­61 Pediatric Ostomy Belt ......................................................................61 Ostomy Accessories ....................................................................67­71 Adapt Skin Barrier Accessories........................................................67 Adapt Skin Barrier Paste .................................................................67 Adapt Stoma Powder ......................................................................67 Adapt Odor Eliminator and Lubricant ...............................................67 Adapt Ostomy Belts ........................................................................68 Skin Barrier .....................................................................................68 Skin Prepping Product .....................................................................68 Adhesives and Removers .................................................................68 Odor Eliminators ..............................................................................69 Cleaner/Decrystallizer ......................................................................69 Drainable Pouch Clamp ...................................................................69 Urostomy Drain Tube Adapter ..........................................................69 Skin Care Products ....................................................................69­70 Irrigation Products ...........................................................................70 Loop Ostomy Bridge ........................................................................70 Replacement Filters .........................................................................71 Bedside Drainage Collection System with Anti-Reflux Valve...............71 Skin Barrier Pastes and Powders .....................................................71 Skin Barriers....................................................................................71 CenterPointLock Two-Piece Pouching System ...........................72­76 Flat Skin Barriers with Floating Flanges ......................................72­73 Convex Skin Barriers with Floating Flanges .................................73­74 Drainable Pouches.....................................................................74­75 Closed Pouches...............................................................................75 Urostomy Pouches.....................................................................75­76 Stoma Cap ......................................................................................76 Irrigator Sleeve ................................................................................76 Karaya 5 One-Piece Pouching System ........................................77­79 Drainable Pouches.....................................................................77­78 Closed Pouches...............................................................................78 Urostomy Pouches...........................................................................78 Other One-Piece Pouching System ....................................................79 Closed Pouches...............................................................................79 Stoma Cap ......................................................................................79 Glossary · Ostomy .............................................................................80

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Quick Reference for Product Selection

New Image Two-Piece Flat Skin Barriers with Integrated Floating Flanges (see pages 25 ­ 27)

New Image Flat Barriers

Cut-to-Fit Flextend A4409 Pre-Sized With Tape Without Tape With Tape Without Tape With Tape Without Tape With Tape Without Tape With Tape

1-3/4" (44 mm)

up to 1-1/4" (32 mm) up to 1-1/4" (32 mm)

2-1/4" (57 mm)

up to 1-3/4" (44 mm) up to 1-3/4" (44 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) up to 1-3/4" (44 mm) up to 1-3/4" (44 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 1-3/8" (35 mm) 1-1/2" (38 mm)

2-3/4" (70 mm)

up to 2-1/4" (57 mm) up to 2-1/4" (57 mm)

4" (102 mm)

up to 3-1/2" (89 mm)

14602

14603 15603 14708 16108 14203 15203 14308 16408 14103

14604

14606 (A4410) -- -- --

15602 1470x 1610x

15604 (A4410) -- --

14707

14709

16107

Cut-to-Fit FlexWear A4414 Pre-Sized

up to 1-1/4" (32 mm) up to 1-1/4" (32 mm)

14202

up to 2-1/4" (57 mm) up to 2-1/4" (57 mm)

14204

up to 3-1/2" (89 mm)

14206 (A4415) -- -- -- --

15202 1430x 1640x

15204 (A4415) -- -- 14104

14307

14309

16407

FormaFlex A4409

Shapeto-Fit

up to 1-1/4" (32 mm)

14102

up to 1-11/16" (43 mm)

up to 2-1/4" (57 mm)

New Image Two-Piece Convex Skin Barriers with Integrated Floating Flange (see pages 28 ­ 29)

New Image Convex Barriers

Cut-to-Fit Flextend A4407 Pre-Sized Without Tape With Tape Without Tape With Tape Without Tape With Tape Without Tape With Tape

5/8" (16 mm)

1-3/4" (44 mm)

up to 1" (25 mm) up to 1" (25 mm)

2-1/4" (57 mm)

up to 1-1/2" (38 mm) up to 1-1/2" (38 mm) 1" (25 mm) 1" (25 mm)

2-3/4" (70 mm)

up to 2" (51 mm)

14802

14803 15803

14804

15802

15804 (A4408)

up to 2" (51 mm) 1-3/4" (44 mm)

14901

3/4" (19 mm)

14902

7/8" (22 mm) 7/8" (22 mm)

14903

14904 15904

1-1/8" (29 mm) 1-1/8" (29 mm)

14905 15905

1-1/4" (32 mm) 1-1/4" (32 mm)

14906 15906

1-3/8" (35 mm)

14907

1-1/2" (38 mm)

14908

1-5/8" (41 mm)

14909

14910

2" (51 mm)

14911

15903

-- 14404 15404 -- --

convex product

Cut-to-Fit FlexWear A4373 Pre-Sized

up to 1" (25 mm) up to 1" (25 mm) 7/8" (22 mm) 7/8" (22 mm)

14402

up to 1-1/2" (38 mm) up to 1-1/2" (38 mm) 1-1/8" (29 mm) 1-1/8" (29 mm)

14403 15403

up to 2" (51 mm) up to 2" (51 mm)

15402

14503

1" (25 mm) 1" (25 mm)

14504

14505 15505

1-1/4" (32 mm) 1-1/4" (32 mm)

14506 15506

15503

15504

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Quick Reference for Product Selection

New Image Two-Piece Drainable Pouches (see pages 30 ­ 32)

New Image Drainable Pouches

Filter A4425 Lock 'n Roll No Filter A5063 Filter A4425 Pouch Clamp No Filter A5063 No Filter A4412 Transparent Beige Transparent Ultra-Clear Beige Transparent Beige Transparent Ultra-Clear Beige Ultra-Clear

1-3/4" (44 mm) 18192 18182 18292 18282

2-1/4" (57 mm) 18193 18183 18293 18283

2-3/4" (70 mm) 18194 18184 18294 18284

4" (102 mm) -- -- -- 18006 -- -- -- -- 18176 -- 18016

18132 18002 18112 18162 18142 18102 18172 18122 18202

18133 18003 18113 18163 18143 18103 18173 18123 18203

18134 18004 18114 18164 18144 18104 18174 18124 18204

High Output With Soft Tap

18012

18013

18014

New Image Two-Piece Closed Pouches (see pages 32 ­ 33)

New Image Closed Pouches

Filter A4419 9" (23 cm) Filter QuietWear A4419 No Filter QuietWear A5054 Filter A4419 No Filter A5054 Transparent Beige Beige

1-3/4" (44 mm) 18362 18372 18322 18332 (box of 60) 18382 18392 18352 (box of 60) 18752 (box of 30) 18732 (box of 30)

2-1/4" (57 mm) 18363 18373 18323 18333 (box of 60) 18383 18393 18353 (box of 60) 18753 (box of 30) 18733 (box of 30)

2-3/4" (70 mm) 18364 18374 18324 18334 (box of 60) 18384 18394 18354 (box of 60) 18754 (box of 30) 18734 (box of 30)

Beige Transparent Beige Beige

7" (18 cm)

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Quick Reference for Product Selection

New Image Two-Piece Urostomy Pouches and Single Use Kits (see pages 33 ­ 35)

New Image Urostomy Pouches

Transparent 9" (23 cm) A4432 Ultra-Clear Beige

1-3/4" (44 mm) 18402 18422 18412

2-1/4" (57 mm) 18403 18423 18413

2-3/4" (70 mm) 18404 18424 18414

New Image Single-Use Kits

Non Sterile Sterile Non Sterile Sterile Non Sterile -- Sterile Ultra-Clear Ultra-Clear

1-3/4" (44 mm) 19002

2-1/4" (57 mm) 19003

2-3/4" (70 mm) 19004

4" (102 mm) 19006 (A5063 + A4415) 19056 (A5063 + A4415) 19106 (A5063 + A4415) 19156 (A5063 + A4415) --

Drainable, No Filter, FlexWear, With Tape A5063 + A4414

Lock 'n Roll

Ultra-Clear

19052

19053

19054

Ultra-Clear

19102

19103

19104

Pouch Clamp

Ultra-Clear

19152

19153

19154

Urostomy, Flextend, With Tape A4432 + A4409

Ultra-Clear

19202

19203

19204

19252

19253

19254

--

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Quick Reference for Product Selection

Premier One-Piece Drainable Pouches with Flat Barriers (see pages 41­ 46)

Premier Pouches Drainable with Flat Barriers

Flextend, Filter, With Tape A5056 Lock 'n Roll 12" (30 cm)

Cut-to-Fit up to 2-1/2" (64 mm)

Pre-Sized 3/4" 1" 1-3/16" 1-1/4" 1-3/8" 1-1/2" 1-9/16" 1-3/4" 2" 2-1/2" (19 mm) (25 mm) (30 mm) (32 mm) (35 mm) (38 mm) (40 mm) (44 mm) (51 mm) (64 mm)

Transparent

8331

--

--

--

--

--

--

--

--

--

--

Transparent Lock 'n Roll Flextend, No Filter, With Tape A4388 Pouch Clamp 12" (30 cm) FlexWear, Filter, With Tape A4424 FlexWear, No Filter, With Tape A5061 12" (30 cm) Ultra-Clear Beige Transparent Beige Transparent Ultra-Clear Transparent Beige Ultra-Clear Ultra-Clear Transparent Beige

-- 8531 8551 8641 -- 8631 8651 8081 8181 8031 8131 88800* 88700*

-- -- -- -- 8647 8637 -- -- -- -- -- -- -- -- -- -- --

8532 -- 8552 -- 8642 8632 -- 8025 8125 -- -- -- 88725 88425 88325 -- --

-- -- -- -- -- -- -- 8030 8130 -- -- -- 88730 88430 88330 -- --

8538 -- 8558 -- 8648 8638 -- -- -- -- -- -- -- -- -- -- --

-- -- -- -- -- -- -- 8035 8135 -- -- -- 88735 88435 88335 -- --

8533 -- 8553 -- 8643 8633 -- -- -- -- -- -- -- -- -- -- --

-- -- -- -- -- -- -- 8040 8140 -- -- -- 88740 88440 88340 -- --

8539 -- 8559 -- 8649 8639 -- -- -- -- -- -- -- -- -- -- --

-- -- -- -- 8644 8634 -- -- -- -- -- -- -- -- -- -- --

-- -- -- -- -- 8635 -- -- -- -- -- -- -- -- -- -- --

9" (23 cm)

Lock 'n Roll Lock 'n Roll Pouch Clamp

12" (30 cm) 12" (30 cm) 12" (30 cm) 7" (18 cm)

SoftFlex, Filter, Lock 'n Without Tape Roll A4424

12" (30 cm) 12" (30 cm) 12" (30 cm)

Transparent 88400*, 88402** Beige Ultra-Clear Ultra-Clear 88300*, 88302** 88401 88501

Lock 'n SoftFlex, Roll No Filter, Without Tape Pouch A5061 Clamp

*Cut-to-fit up to 2-1/8" (55 mm) **Oval cut-to-fit 3 x 2.5" (75 mm x 65 mm)

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Quick Reference for Product Selection

Premier One-Piece Drainable Pouches with Convex Barriers (see pages 46 ­ 47)

convex product

Premier Pouches Drainable with Convex Barriers

Flextend, With Filter, Lock With Tape 'n Roll A5057 12" (30 cm) Lock Flextend, 'n Roll No Filter, With Tape A4390 Pouch Clamp

Cut-to-Fit

Pre-Sized

up to 1" up to 1-1/2" up to 2" 3/4" 7/8" 1" 1-1/8" 1-1/4" 1-3/8" 1-1/2" 1-5/8" 1-3/4" 2" (25 mm) (38 mm) (51 mm) (19 mm) (22 mm) (25 mm) (29 mm) (32 mm) (35 mm) (38 mm) (41 mm) (44 mm) (51 mm)

Transparent 8584

8588

85811

--

--

--

--

--

--

--

--

--

--

Transparent 8524 Beige 8504

8528 8508 8628

85211 8510 85011 8590 86211 8610

8511 8591 8611

8512 8592 8612

8513 8593 8613

8514 8594 8614

8515 85116 8595 8615 8596 8616

-- 8597 8617

85118 85119 -- 8618 8599 8619

Transparent 8624

Premier High Output Drainable Pouches (see page 48)

Premier Pouches High Output Drainable with Flat Barriers

Flextend, No Filter, Without Tape A6154 Non Sterile With Soft Tap 12" (30 cm) Sterile

Cut-to-Fit up to 2-3/4" (70 mm) 80070 up to 4-1/3" (110 mm) 80110

81070

81110

Premier One-Piece Closed Pouches (see pages 50 ­ 51) Cut-to-Fit Pre-Sized 1" (25 mm) -- 82325 -- 82125 1-3/16" (30 mm) -- 82330 -- 82130 1-3/8" (35 mm) -- 82335 -- 82135

Premier Closed Pouches

Transparent 9" (23 cm) SoftFlex, Filter, Without Tape A4416 7" (18 cm) Beige Beige Transparent

up to 2-1/8" (55 mm) 82400, 82402* 82300, 82302* 82500 82100

*Oval cut-to-fit 3 x 2.5" (75 mm x 65 mm)

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Quick Reference for Product Selection

Premier One-Piece Urostomy Pouches (see pages 51­ 52) Premier Urostomy Pouches

Transparent Flat A4428 Flat A4428 Ultra-Clear Beige Convex Convex A4430 Cut-to-Fit Pre-Sized

up to 1" up to 1-1/2" up to 2" up to 2-1/2" 1/2" 5/8" 3/4" 7/8" 1" 1-1/8" 1-1/4" 1-3/8" 1-1/2" 1-3/4" 2" (25 mm) (38 mm) (51 mm) (64 mm) (13 mm) (15 mm) (19 mm) (22 mm) (25 mm) (29 mm) (32 mm) (35 mm) (38 mm) (44 mm) (51 mm)

-- -- --

-- -- -- 8478 8438

-- -- -- 84711 84311

8460 8450 8440 -- --

-- -- --

-- -- --

8467 -- 8447

-- -- --

8462 -- 8442

-- -- --

8468 -- 8448

-- -- --

8463 8469 8464 -- -- --

Flextend

8443 8449 8444 -- --

Transparent 8474 Beige 8434

8480 8481 8482 8483 8484 8485 8486 8487 8488 8489 8490 8491 8492 8493 8494 8495 8496 8497 8498 8499

convex product

Premier Single Use Kits (see pages 52­ 53) Premier Single-Use Kits--Non Sterile

Lock 'n Roll Without Tape Ultra-Clear up to 2-1/2" (64 mm) 89001

Drainable (SoftFlex) A5061

Pouch Clamp

Without Tape

Ultra-Clear

89002

Drainable (Flextend) A4388

Lock 'n Roll

With Tape

Ultra-Clear

89004

Pouch Clamp

With Tape

Ultra-Clear

89003

Urostomy (Flextend) A4428

With Tape

Ultra-Clear

89005

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Medicare Utilization Chart

Medicare's Usual Maximum Quantity for Ostomy Supplies

The quantity of ostomy supplies needed by a patient is determined primarily by the type of ostomy, its location, its construction, and the condition of the skin surface surrounding the stoma. There will be variation according to individual patient need and their needs may vary over time. The table below lists the maximum number of items/units of service that are usually medically necessary. The actual quantity needed for a particular patient may be more or less than the amount listed depending on the factors that affect the frequency of barrier and pouch change. The medical necessity for use of a greater quantity of supplies than the amounts listed must be clearly documented in the patient's medical record, and must be available upon request. If adequate documentation is not provided when requested, the excess quantities will be denied as not medically necessary. Per LCD for Ostomy Supplies (L11502), NHIC effective 1-1-2011. New Ostomy Codes added effective 1-1-2012.

HCPCS Long Description Quantity

A4331 Extension drainage tubing, any type, any length, with connector/adapter, for use with urinary leg bag or urostomy pouch, each A4357 Bedside drainage bag, day or night, with or without 2 ea /mo anti-reflux device, with or without tube, each A4361 Ostomy faceplate, each 3 ea/6 mo A4362 Skin barrier, solid, 4 x 4 or equivalent, each 20 ea/mo A4363 Ostomy clamp, any type, replacement only, each A4364 Adhesive, liquid or equal, any type, per ounce 4 oz/mo A4366 Ostomy vent, any type, each A4367 Ostomy belt, each 1 ea/mo A4368 Ostomy filter, any type, each A4369 Ostomy skin barrier, liquid (spray, brush, etc.), per ounce 2 oz/mo A4371 Ostomy skin barrier, powder, per ounce 10 oz/6 mo A4372 Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear with built-in convexity, each A4373 Ostomy skin barrier, with flange (solid, flexible, or accordion), with built-in convexity, any size, each A4375 Ostomy pouch, drainable, with faceplate attached, plastic, each A4376 Ostomy pouch, drainable, with faceplate attached, rubber, each A4377 Ostomy pouch drainable for use on faceplate, 10 ea/mo plastic, each A4378 Ostomy pouch, drainable, for use on faceplate, rubber, each A4379 Ostomy pouch, urinary, with faceplate attached, plastic, each A4380 Ostomy pouch, urinary, with faceplate attached, rubber, each A4381 Ostomy pouch, urinary, for use with faceplate, plastic, each 10 ea/mo A4382 Ostomy pouch, urinary, for use on faceplate, heavy plastic, each A4383 Ostomy pouch, urinary, for use on faceplate, rubber, each A4384 Ostomy faceplate equivalent, silicone ring, each A4385 Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4387 Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each A4388 Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each A4389 Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each No

established usual maximum, refer to Medicare Utilization Guidelines.

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Medicare Utilization Chart

HCPCS Long Description A4390 Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each A4391 Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each A4392 Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each A4393 Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each A4394 Ostomy deodorant, with or without lubricant, for use in ostomy pouch, liquid, per fluid ounce A4395 Ostomy deodorant for use in ostomy pouch, solid, per tablet A4396 Ostomy belt with peristomal hernia support A4397 Irrigation supply, sleeve, each A4398 Ostomy irrigation supply, bag, each A4399 Ostomy irrigation supply, cone/catheter, with or without brush A4402 Lubricant, per ounce A4404 Ostomy ring, each A4405 Ostomy skin barrier, non-pectin based, paste, per ounce A4406 Ostomy skin barrier, pectin-based, paste, per ounce A4407 Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4408 Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each A4409 Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4410 Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each A4411 Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each A4412 Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each A4413 Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each A4414 Ostomy skin barrier, with flange (solid, flexible, or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4415 Ostomy skin barrier, with flange (solid, flexible, or accordion), without built-in convexity, larger than 4 x 4 inches, each A4416 Ostomy pouch, closed, with barrier attached, with filter (1 piece), each A4417 Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each A4418 Ostomy pouch, closed, without barrier attached, with filter (1 piece), each A4419 Ostomy pouch, closed, for use on barrier with non-locking flange, with filter (2 piece), each A4420 Ostomy pouch, closed, for use on barrier with locking flange (2 piece), each A4421 Ostomy supply; miscellaneous A4422 Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each

No

Quantity

4 ea/mo 2 ea/6 mo 2 ea/6 mo 4 oz/mo 10 ea/mo 4 oz/mo 4 oz/mo

20 ea/mo 20 ea/mo 60 ea/mo 60 ea/mo 60 ea/mo 60 ea/mo 60 ea/mo

established usual maximum, refer to Medicare Utilization Guidelines.

18

Hollister Incorporated

1.888.740.8999

HCPCS Long Description

Quantity

A4423 Ostomy pouch, closed, for use on barrier with locking 60 ea/mo flange, with filter (2 piece), each A4424 Ostomy pouch, drainable, with barrier attached, with filter 20 ea/mo (1 piece), each A4425 Ostomy pouch, drainable, for use on barrier with 20 ea/mo non-locking flange, with filter (2 piece system), each A4426 Ostomy pouch, drainable, for use on barrier with 20 ea/mo locking flange (2 piece system), each A4427 Ostomy pouch, drainable, for use on barrier with 20 ea/mo locking flange, with filter (2 piece system) each A4428 Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each A4429 Ostomy pouch, urinary, with barrier attached, with built-in 20 ea/mo convexity, with faucet-type tap with valve (1 piece), each A4430 Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each A4431 Ostomy pouch, urinary, with barrier attached, with 20 ea/mo faucet-type tap, with valve (1 piece), each A4432 Ostomy pouch, urinary, for use on barrier with 20 ea/mo non-locking flange, with faucet-type tap with valve (2 piece), each A4433 Ostomy pouch, urinary, for use on barrier with 20 ea/mo locking flange (2 piece), each A4434 Ostomy pouch, urinary, for use on barrier with 20 ea/mo locking flange, with faucet-type tap with valve (2 piece), each A4450 Tape, non-waterproof, per 18 square inches 40 ea (18 sq in)/mo A4452 Tape, waterproof, per 18 square inches 40 ea (18 sq in)/mo A4455 Adhesive remover or solvent (for tape, cement, or other 16 oz/6 mo adhesive), per ounce A4456 Adhesive remover, wipes, any type, each A5051 Ostomy pouch, closed, with barrier attached 60 ea/mo (1 piece), each A5052 Ostomy pouch, closed, without barrier attached, 60 ea/mo (1 piece), each A5053 Ostomy pouch, closed, for use on faceplate, each 60 ea/mo A5054 Ostomy pouch, closed, for use on barrier with flange 60 ea/mo (2 piece), each A5055 Stoma Cap 31 ea/mo A5056 Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each A5057 Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity, with filter, (1 piece), each A5061 Ostomy pouch, drainable, with barrier attached 20 ea/mo (1 piece), each A5062 Ostomy pouch, drainable, without barrier attached 20 ea/mo (1 piece), each A5063 Ostomy pouch, drainable, for use on barrier with flange 20 ea/mo (2 piece system), each A5071 Ostomy pouch, urinary, with barrier attached 20 ea/mo (1 piece), each A5072 Ostomy pouch, urinary, without barrier attached 20 ea/mo (1 piece), each A5073 Ostomy pouch, urinary, for use on barrier with flange 20 ea/mo (2 piece), each

No

established usual maximum, refer to Medicare Utilization Guidelines.

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Hollister Incorporated

19

Medicare Utilization Chart

HCPCS Long Description A5081 A5082 A5083 A5093 A5102 A5120 A5121 A5122 A5126 A5131 A6216 A9270

No

Quantity

Continent device, plug for continent stoma 31 ea/mo Continent device, catheter for continent stoma 1 ea/mo Continent device, stoma absorptive cover for continent stoma 150 ea/mo Ostomy accessory, convex insert 10 ea/mo Bedside drainage bottle with or without tubing, rigid or 2 ea/6 mo expandable, each Skin barrier, wipes or swabs, each 150 ea/6 mo Skin barrier, solid, 6 x 6 or equivalent, each 20 ea/mo Skin barrier, solid, 8 x 8 or equivalent, each 20 ea/mo Adhesive or non-adhesive, disk or foam pad 20 ea/mo Appliance cleaner, incontinence and ostomy 1 ea (16 oz btl)/mo appliances, per 16 ounce Gauze, non-impregnated, non sterile, pad size 16 sq in 60 ea/mo or less, without adhesive border, each dressing Non-covered item or service

established usual maximum, refer to Medicare Utilization Guidelines.

Did you know...

How to Size Hollister Ostomy Pouches

A properly fitted pouch is essential to minimize stomal and skin irritation and to obtain optimum pouch wear time. A stoma measuring guide allows correct measurement of the stoma. Measure the stoma accurately. Select the smallest barrier opening which fits comfortably around the stoma without actually touching it. Too large an opening will leave skin exposed and could lead to skin irritation or erosion.

20

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New Image Two-Piece Pouching System

New Image Two-Piece Pouching System

New Image

Two-Piece Pouching System

Hollister Ostomy. Details Matter.

www.hollister.com

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Hollister Incorporated

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New Image Two-Piece Pouching System

Color Matching System To help you select compatible New Image components, every box label is color-coded. First, select the proper skin barrier; then select a matching color-coded pouch ("red" skin barrier box label is compatible to "red" pouch box label).

(44 mm)

1-3/4"

(57 mm)

2-1/4"

(70 mm)

2-3/4"

(102 mm)

4"

Flat Skin Barriers with Integrated Floating Flanges

1460x (CUT-TO-FIT) Flextend (extended wear) Skin Barrier With Tape Border

Box of 5

HCPCS for 14602, 14603 & 14604: A4409 HCPCS for 14606: A4410

Stock No 14602 14603 14604 14606 Flange Size Barrier Opening up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm) up to 3-1/2" (89 mm)

c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-3/4" (70 mm) c 4" (102 mm)

1560x (CUT-TO-FIT) Flextend (extended wear) Skin Barrier Without Tape Border HCPCS for 15602 & 15603: A4409 HCPCS for 15604: A4410

Stock No 15602 15603 15604 Flange Size

Box of 5

Barrier Opening up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm)

c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-3/4" (70 mm)

1420x (CUT-TO-FIT) FlexWear (standard wear) Skin Barrier With Tape Border HCPCS for 14202, 14203 & 14204: A4414 HCPCS for 14206: A4415

Stock No 14202 14203 14204 14206 Flange Size

Box of 5

Barrier Opening up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm) up to 3-1/2" (89 mm)

c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-3/4" (70 mm) c 4" (102 mm)

1520x (CUT-TO-FIT) FlexWear (standard wear) Skin Barrier Without Tape Border HCPCS for 15202 & 15203: A4414 HCPCS for 15204: A4415

Stock No 15202 15203 15204 Flange Size

Box of 5

Barrier Opening up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm)

c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-3/4" (70 mm)

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25

New Image Two-Piece Pouching System

Flat Skin Barriers with Integrated Floating Flanges (continued)

1470x (PRE-SIZED) Flextend (extended wear) Skin Barrier With Tape Border

Box of 5

HCPCS: A4409

Stock No 14701 14702 14703 14704 14705 14706 14707 14708 14709 Flange Size Barrier Opening 5/8" (16 mm) 3/4" (19 mm) 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 1-3/4" (44 mm)

c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-1/4" (57 mm) c 2-1/4" (57 mm)

1610x (PRE-SIZED) Flextend (extended wear) Skin Barrier Without Tape Border

Box of 5

HCPCS: A4409

Stock No 16101 16102 16103 16104 16105 16106 16107 16108 Flange Size Barrier Opening 5/8" (16 mm) 3/4" (19 mm) 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm) 1-3/8" (35 mm) 1-1/2" (38 mm)

c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-1/4" (57 mm)

1430x (PRE-SIZED) FlexWear (standard wear) Skin Barrier With Tape Border

Box of 5

HCPCS: A4414

Stock No 14301 14302 14303 14304 14305 14306 14307 14308 14309 Flange Size Barrier Opening 5/8" (16 mm) 3/4" (19 mm) 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 1-3/4" (44 mm)

c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-1/4" (57 mm) c 2-1/4" (57 mm)

1640x (PRE-SIZED) FlexWear (standard wear) Skin Barrier Without Tape Border

Box of 5

HCPCS: A4414

Stock No 16401 16402 16403 16404 16405 16406 16407 16408 Flange Size Barrier Opening 5/8" (16 mm) 3/4" (19 mm) 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm) 1-3/8" (35 mm) 1-1/2" (38 mm)

c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-1/4" (57 mm)

26

Hollister Incorporated

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Flat Skin Barriers with Integrated Floating Flanges (continued)

1410x (SHAPE-TO-FIT) FormaFlex (extended wear) Skin Barrier With Tape Border

Box of 5

HCPCS: A4409

Stock No 14102 14103 14104 Flange Size Barrier Opening Up to 1-1/4" (32 mm) Up to 1-11/16" (43 mm) Up to 2-1/4" (57 mm)

c 1-3/4" (44 mm) 2-1/4" (57 mm) c 2-3/4" (70 mm) c

FormaFlex Shape-to-Fit Skin Barrier (Part of the New Image product line)

This convenient, versatile skin barrier is simple to shape and reshape by hand for a customized fit around various stoma sizes. No measuring, no tracing, no cutting. The barrier is specially formulated to be soft and flexible enough for users to attain just the right fit, and strong and gentle enough to firmly adhere around the stoma. All FormaFlex Shape-to-Fit Skin Barriers have a 5/8" starter hole.

FormaFlex Skin Barrier --

Simple to shape.

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27

New Image Two-Piece Pouching System

Convex Skin Barriers with Integrated Floating Flanges

1480x (CUT-TO-FIT) Flextend (extended wear) Skin Barrier With Tape Border

Box of 5

HCPCS: A4407

Stock No 14802 14803 14804 Flange Size Barrier Opening up to 1" (25 mm) up to 1-1/2" (38 mm) up to 2" (51 mm)

c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-3/4" (70 mm)

1580x (CUT-TO-FIT) Flextend (extended wear) Skin Barrier Without Tape Border HCPCS for 15802 & 15803: A4407 HCPCS for 15804: A4408

Stock No 15802 15803 15804 Flange Size

Box of 5

Barrier Opening up to 1" (25 mm) up to 1-1/2" (38 mm) up to 2" (51 mm)

c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-3/4" (70 mm)

1440x (CUT-TO-FIT) FlexWear (standard wear) Skin Barrier With Tape Border HCPCS: A4373

Stock No 14402 14403 14404 Flange Size

Box of 5

Barrier Opening up to 1" (25 mm) up to 1-1/2" (38 mm) up to 2" (51 mm)

c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-3/4" (70 mm)

1540x (CUT-TO-FIT) FlexWear (standard wear) Skin Barrier Without Tape Border HCPCS: A4373

Stock No 15402 15403 15404 Flange Size

Box of 5

Barrier Opening up to 1" (25 mm) up to 1-1/2" (38 mm) up to 2" (51 mm)

c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-3/4" (70 mm)

convex producT

Did you know...

Hollister Skin Barrier Packaging

· Individually packaged · Product name, stock number, and color coding clearly indicated · Discreet · Easy-to-open · Less shelf space required

28

Hollister Incorporated

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Convex Skin Barriers with Integrated Floating Flanges (continued)

149xx (PRE-SIZED) Flextend (extended wear) Skin Barrier With Tape Border

Box of 5

HCPCS: A4407

Stock No 14901 14902 14903 14904 14905 14906 14907 14908 14909 14910 14911 Flange Size Barrier Opening 5/8" (16 mm) 3/4" (19 mm) 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 1-5/8" (41 mm) 1-3/4" (44 mm) 2" (51 mm)

c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-1/4" (57 mm) c 2-1/4" (57 mm) c 2-1/4" (57 mm) c 2-3/4" (70 mm) c 2-3/4" (70 mm) c 2-3/4" (70 mm)

1590x (PRE-SIZED) Flextend (extended wear) Skin Barrier Without Tape Border

Box of 5

HCPCS: A4407

Stock No 15903 15904 15905 15906 Flange Size Barrier Opening 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm)

c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-1/4" (57 mm)

1450x (PRE-SIZED) FlexWear (standard wear) Skin Barrier With Tape Border

Box of 5

HCPCS: A4373

Stock No 14503 14504 14505 14506 Flange Size Barrier Opening 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm)

c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-1/4" (57 mm)

1550x (PRE-SIZED) FlexWear (standard wear) Skin Barrier Without Tape Border

Box of 5

HCPCS: A4373

Stock No 15503 15504 15505 15506 Flange Size Barrier Opening 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm)

c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-1/4" (57 mm)

convex producT

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Hollister Incorporated

29

New Image Two-Piece Pouching System

Drainable Pouches

1818x/1819x Drainable Pouch With Integrated AF300 Filter Lock 'n Roll Microseal Closure Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

Box of 10

HCPCS: A4425

Transparent Stock No 18192 18193 18194 Beige Stock No 18182 18183 18184 Flange Size Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm)

c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-3/4" (70 mm)

1828x/1829x Drainable Mini-Pouch With Integrated AF300 Filter Lock 'n Roll Microseal Closure Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

Box of 20

HCPCS: A4425

Transparent Stock No 18292 18293 18294 Beige Stock No 18282 18283 18284 Flange Size Pouch Length 7" (18 cm) 7" (18 cm) 7" (18 cm)

c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-3/4" (70 mm)

1811x/1813x/1800x Box of 10 Drainable Pouch Without Integrated Filter Lock 'n Roll Microseal Closure Odor-Barrier Rustle-Free Film -- Transparent and Beige Odor-Barrier Film -- Ultra-Clear With Belt Tabs With ComfortWear Panels - Transparent and Ultra-Clear -- Body Side Only - Beige -- Both Sides

HCPCS: A5063

Transparent Beige Stock No Stock No 18132 18133 18134 -- 18112 18113 18114 -- Ultra-Clear Stock No 18002 18003 18004 18006 Flange Size Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm)

c 1-3/4" (44 mm) c 2-1/4" (57 mm) (70 c 2-3/4" (102mm) c 4" mm)

Did you know...

Instructions for Use

Improved product instructions include large images that show step-by-step application.

30

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Drainable Pouches (continued)

1814x/1816x Drainable Pouch With Integrated AF300 Filter Clamp Closure Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

Box of 10

HCPCS: A4425

Transparent Stock No 18162 18163 18164 Beige Stock No 18142 18143 18144 Flange Size Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm)

c 1-3/4" (44 mm) 2-1/4" (57 mm) c 2-3/4" (70 mm) c

1810x/1812x/1817x Box of 10 Drainable Pouch Without Integrated Filter Clamp Closure Odor-Barrier Rustle-Free Film -- Transparent and Beige Odor-Barrier Film -- Ultra-Clear With Belt Tabs With ComfortWear Panels - Transparent and Ultra-Clear -- Body Side Only - Beige -- Both Sides

HCPCS: A5063

Transparent Beige Stock No Stock No 18102 18103 18104 -- 18122 18123 18124 -- Ultra-Clear Stock No 18172 18173 18174 18176 Flange Size Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm)

c 1-3/4" (44 mm) c 2-1/4" (57 mm) (70 c 2-3/4" (102mm) c 4" mm)

1820x Drainable Mini-Pouch Without Integrated Filter Clamp Closure Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panels -- Both Sides

Box of 10

HCPCS: A5063

Beige Stock No 18202 18203 18204 Flange Size Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm)

c 1-3/4" (44 mm) 2-1/4" (57 mm) c 2-3/4" (70 mm) c Did you know...

· Each box of New Image Pouches includes one disposal bag per every pouch for discreet disposal · Each box of urostomy pouches includes one urostomy tube adapter and ten (10) caps · Cutting guides are on all cut-to-fit barriers

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New Image Two-Piece Pouching System

High Output Drainable Pouches

1801x Box of 10 Drainable Pouch Without Integrated Filter Soft Tap Odor-Barrier Film With Belt Tabs With ComfortWear Panel -- Body Side Only

HCPCS: A4412

Ultra-Clear Stock No 18012 18013 18014 18016 Flange Size 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-3/4" (70 mm) c 4" (102 mm) c Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm)

Closed Pouches

1836x/1837x Closed Pouch With Integrated AF300 Filter Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

Box of 60

HCPCS: A4419

Transparent Stock No 18362 18363 18364 Beige Stock No 18372 18373 18374 Flange Size 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-3/4" (70 mm) c Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm)

1832x Closed Pouch With Integrated AF300 Filter With Belt Tabs With QuietWear Pouch Material HCPCS: A4419

Box of 30

Beige Stock No 18322 18323 18324

Flange Size 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-3/4" (70 mm) c

Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm)

1838x/1839x Closed Mini-Pouch With Integrated AF300 Filter With Belt Tabs With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

Box of 60

HCPCS: A4419

Transparent Stock No 18382 18383 18384 Beige Stock No 18392 18393 18394 Flange Size Pouch Length 7" (18 cm) 7" (18 cm) 7" (18 cm)

c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-3/4" (70 mm)

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Closed Pouches (continued)

1833x 1873x Closed Pouch Without Integrated Filter With Belt Tabs With QuietWear Pouch Material HCPCS: A5054

Box of 30 Box of 60

Stock No Box of 30 18332 18333 18334

Stock No Box of 60 18732 18733 18734

Flange Size

Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm)

c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-3/4" (70 mm)

1835x 1875x Closed Mini-Pouch Without Integrated Filter Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panels -- Both Sides

Box of 30 Box of 60

HCPCS: A5054

Stock No Box of 30 18352 18353 18354 Stock No Box of 60 18752 18753 18754 Flange Size Pouch Length 7" (18 cm) 7" (18 cm) 7" (18 cm)

c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-3/4" (70 mm)

Irrigator Sleeve

1815x Drainable Irrigator Sleeve Odor-Barrier Film With Belt Tabs Includes Clamp

Box of 5

HCPCS: A4397

Transparent Stock No 18152 18153 18154 Flange Size Pouch Length 30" (76 cm) 30" (76 cm) 30" (76 cm)

c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-3/4" (70 mm)

Urostomy Pouches

1840x/1841x/1842x Box of 10 Urostomy Pouch Odor-Barrier Rustle-Free Film Odor-Barrier Film -- Ultra-Clear With Belt Tabs With ComfortWear Panels - Transparent and Ultra-Clear -- Body Side Only - Beige -- Both Sides

HCPCS: A4432

Transparent Beige Stock No Stock No 18402 18403 18404 18412 18413 18414 Ultra-Clear Stock No 18422 18423 18424 Flange Size Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm)

c 1-3/4" (44 mm) c 2-1/4" (57 mm) c 2-3/4" (70 mm)

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33

New Image Two-Piece Pouching System

Non Sterile Kits -- Drainable

1900x Box of 5 Colostomy/Ileostomy Kit includes: (1) 1420x (FlexWear) with Tape Border (1) 1800x (Lock 'n Roll Microseal Closure) Ultra-Clear (1) 7767 Loop Ostomy Bridge (in 19006 only) Single-Use Package

HCPCS for 19002, 19003 & 19004: A5063 + A4414 HCPCS for 19006: A5063 + A4415

Ultra-Clear Stock No 19002 19003 19004 19006 Flange Size Barrier Opening up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm) up to 3-1/2" (89 mm)

c 1-3/4" (44 mm) 2-1/4" (57 mm) c 2-3/4" (70 mm) c 4" (102 mm) c

1910x Box of 5 Colostomy/Ileostomy Kit includes: (1) 1420x (FlexWear) with Tape Border (1) 1817x (Clamp Closure) Ultra-Clear (1) 7767 Loop Ostomy Bridge (in 19106 only) Single-Use Package

HCPCS for 19102, 19103 & 19104: A5063 + A4414 HCPCS for 19106: A5063 + A4415

Ultra-Clear Stock No 19102 19103 19104 19106 Flange Size Barrier Opening up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm) up to 3-1/2" (89 mm)

c 1-3/4" (44 mm) 2-1/4" (57 mm) c 2-3/4" (70 mm) c 4" (102 mm) c

Non Sterile Kits -- Urostomy

1920x Urostomy Kit includes: (1) 1460x (Flextend) with Tape Border (1) 1842x (Ultra-Clear Pouch Film) (1) 7331 Single-Use Package

Box of 5

HCPCS: A4432 + A4409

Ultra-Clear Stock No 19202 19203 19204 Flange Size Barrier Opening up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm)

c 1-3/4" (44 mm) 2-1/4" (57 mm) c 2-3/4" (70 mm) c

34

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Sterile Kits -- Drainable

1905x Box of 5 Colostomy/Ileostomy Kit includes: (1) 1420x (FlexWear) with Tape Border (1) 1800x (Lock 'n Roll Microseal Closure) Ultra-Clear (1) 7767 Loop Ostomy Bridge (in 19056 only) Single-Use Package

HCPCS for 19052, 19053 & 19054: A5063 + A4414 HCPCS for 19056: A5063 + A4415

Ultra-Clear Stock No 19052 19053 19054 19056 Flange Size Barrier Opening up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm) up to 3-1/2" (89 mm)

c 1-3/4" (44 mm) c 2-1/4" (57 mm) (70 c 2-3/4" (102mm) c 4" mm)

1915x Box of 5 Colostomy/Ileostomy Kit includes: (1) 1420x (FlexWear) with Tape Border (1) 1817x (Clamp Closure) Ultra-Clear (1) 7767 Loop Ostomy Bridge (in 19156 only) Single-Use Package

HCPCS for 19152, 19153 & 19154: A5063 + A4414 HCPCS for 19156: A5063 + A4415

Ultra-Clear Stock No 19152 19153 19154 19156 Flange Size Barrier Opening up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm) up to 3-1/2" (89 mm)

c 1-3/4" (44 mm) c 2-1/4" (57 mm) (70 c 2-3/4" (102mm) c 4" mm)

Sterile Kits -- Urostomy

1925x Urostomy Kit includes: (1) 1460x (Flextend) with Tape Border (1) 1842x (Ultra-Clear Pouch Film) (1) 7331 Single-Use Package

Box of 5

HCPCS: A4432 + A4409

Ultra-Clear Stock No 19252 19253 19254 Flange Size Barrier Opening up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm)

c 1-3/4" (44 mm) 2-1/4" (57 mm) c 2-3/4" (70 mm) c

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36

Hollister Incorporated

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Premier One-Piece Pouching System

Premier One-Piece Pouching System

Premier

One-Piece Pouching System

Hollister Ostomy. Details Matter.

www.hollister.com

40

Hollister Incorporated

1.888.740.8999

Premier One-Piece Pouching System

Drainable Pouches with Flat Barriers

8331 (CUT-TO-FIT) Box of 10 Drainable Pouch Flextend (extended wear) Skin Barrier With Tape Border With Integrated AF300 Filter Lock 'n Roll Closure Odor-Barrier Rustle-Free Film With ComfortWear Panel -- Body Side Only

HCPCS: A5056

Transparent Stock No 8331 Barrier Opening up to 2-1/2" (64 mm) Pouch Length 12" (30 cm)

8531/8551 (CUT-TO-FIT) Drainable Pouch Flextend (extended wear) Skin Barrier With Tape Border Without Integrated Filter Lock 'n Roll Closure Odor-Barrier Rustle-Free Film -- Beige Odor-Barrier Film -- Ultra-Clear With ComfortWear Panels - Ultra-Clear -- Body Side Only - Beige -- Both Sides

Box of 10

HCPCS: A4388

Ultra-Clear Stock No 8531 Beige Stock No 8551 Barrier Opening up to 2-1/2" (64 mm) Pouch Length 12" (30 cm)

8631/8651 (CUT-TO-FIT) Box of 10 Drainable Pouch Flextend (extended wear) Skin Barrier With Tape Border Without Integrated Filter Clamp Closure Odor-Barrier Rustle-Free Film -- Transparent Odor-Barrier Film -- Ultra-Clear With ComfortWear Panel -- Body Side Only

HCPCS: A4388

Transparent Stock No 8631 Ultra-Clear Stock No 8651 Barrier Opening up to 2-1/2" (64 mm) Pouch Length 12" (30 cm)

8641 (CUT-TO-FIT) Box of 10 Drainable Mini-Pouch Flextend (extended wear) Skin Barrier With Tape Border Without Integrated Filter Clamp Closure Odor-Barrier Rustle-Free Film With ComfortWear Panel -- Body Side Only

HCPCS: A4388

Transparent Stock No 8641 Barrier Opening up to 2-1/2" (64 mm) Pouch Length 9" (23 cm)

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Premier One-Piece Pouching System

Drainable Pouches with Flat Barriers (continued)

8081/8181 (CUT-TO-FIT) Drainable Pouch FlexWear (standard wear) Skin Barrier With Tape Border With Integrated AF300 Filter Lock 'n Roll Closure Odor-Barrier Rustle-Free Film With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

Box of 10

HCPCS: A4424

Transparent Stock No 8081 Beige Stock No 8181 Barrier Opening up to 2-1/2" (64 mm) Pouch Length 12" (30 cm)

8031 (CUT-TO-FIT) Drainable Pouch FlexWear (standard wear) Skin Barrier With Tape Border Without Integrated AF300 Filter Lock 'n Roll Closure Odor-Barrier Film With ComfortWear Panel -- Body Side Only

Box of 10

HCPCS: A5061

Ultra-Clear Stock No 8031 Barrier Opening up to 2-1/2" (64 mm) Pouch Length 12" (30 cm)

8131 (CUT-TO-FIT) Box of 10 Drainable Pouch FlexWear (standard wear) Skin Barrier With Tape Border Without Integrated AF300 Filter Clamp Closure Odor-Barrier Film With ComfortWear Panel -- Body Side Only

HCPCS: A5061

Ultra-Clear Stock No 8131 Barrier Opening up to 2-1/2" (64 mm) Pouch Length 12" (30 cm)

88300/88400 (CUT-TO-FIT) Drainable Pouch SoftFlex (standard wear) Skin Barrier Without Tape Border With Integrated AF300 Filter Lock 'n Roll Microseal Closure Odor-Barrier Rustle-Free Film With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

Box of 10

HCPCS: A4424

Transparent Stock No 88400 Beige Stock No 88300 Barrier Opening up to 2-1/8" (55 mm) Pouch Length 12" (30 cm)

42

Hollister Incorporated

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Drainable Pouches with Flat Barriers (continued)

88800/88700 (CUT-TO-FIT) Drainable Mini-Pouch SoftFlex (standard wear) Skin Barrier Without Tape Border With Integrated AF300 Filter Lock 'n Roll Microseal Closure Odor-Barrier Rustle-Free Film With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

Box of 20

HCPCS: A4424

Transparent Stock No 88800 Beige Stock No 88700 Barrier Opening up to 2-1/8" (55 mm) Pouch Length 7" (18 cm)

88302/88402 (OVAL CUT-TO-FIT) Drainable Pouch SoftFlex (standard wear) Skin Barrier Without Tape Border With Integrated AF300 Filter Lock 'n Roll Microseal Closure Odor-Barrier Rustle-Free Film With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

Box of 10

HCPCS: A4424

Transparent Stock No 88402 Beige Stock No 88302 Barrier Opening 3 x 2.5" (75 mm x 65 mm) Pouch Length 12" (30 cm)

88401 (CUT-TO-FIT) Box of 10 Drainable Pouch SoftFlex (standard wear) Skin Barrier Without Tape Border Without Integrated Filter Lock 'n Roll Microseal Closure Odor-Barrier Film With ComfortWear Panel -- Body Side Only

HCPCS: A5061

Ultra-Clear Stock No 88401 Barrier Opening up to 2-1/2" (64 mm) Pouch Length 12" (30 cm)

Did you know...

· Cut-to-fit products have a 1/2" (13 mm) starter hole and can be used as a pre-sized product for some small stomas (excludes Pouchkins products) · Cutting guides are provided on all cut-to-fit barriers · Drainable pouches without the Lock 'n Roll Closure include one pouch clamp per box · We do not recommend the use of Skin Gel Wipes (Stock No 7917) or other brands of skin preps with Flextend Skin Barriers as they may decrease wear time

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Hollister Incorporated

43

Premier One-Piece Pouching System

Drainable Pouches with Flat Barriers (continued)

88501 (CUT-TO-FIT) Box of 10 Drainable Pouch SoftFlex (standard wear) Skin Barrier Without Tape Border Without Integrated Filter Clamp Closure Odor-Barrier Film With ComfortWear Panel -- Body Side Only

HCPCS: A5061

Ultra-Clear Stock No 88501 Barrier Opening up to 2-1/2" (64 mm) Pouch Length 12" (30 cm)

853x/855x (PRE-SIZED) Drainable Pouch Flextend (extended wear) Skin Barrier With Tape Border Without Integrated Filter Lock 'n Roll Closure Odor-Barrier Rustle-Free Film With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

Box of 10

HCPCS: A4388

Transparent Stock No 8532 8538 8533 8539 Beige Stock No 8552 8558 8553 8559 Barrier Opening 1" (25 mm) 1-1/4" (32 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm)

863x (PRE-SIZED) Box of 10 Drainable Pouch Flextend (extended wear) Skin Barrier With Tape Border Without Integrated Filter Clamp Closure Odor-Barrier Rustle-Free Film With ComfortWear Panel -- Body Side Only

HCPCS: A4388

Transparent Stock No 8637 8632 8638 8633 8639 8634 8635 Barrier Opening 3/4" (19 mm) 1" (25 mm) 1-1/4" (32 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 2" (51 mm) 2-1/2" (64 mm) Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm)

44

Hollister Incorporated

1.888.740.8999

Drainable Pouches with Flat Barriers (continued)

864x (PRE-SIZED) Drainable Mini-Pouch Flextend (extended wear) Skin Barrier With Tape Border Without Integrated Filter Clamp Closure Odor-Barrier Rustle-Free Film With ComfortWear Panels -- Both Sides

Box of 10

HCPCS: A4388

Beige Stock No 8647 8642 8648 8643 8649 8644 Barrier Opening 3/4" (19 mm) 1" (25 mm) 1-1/4" (32 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 2" (51 mm) Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm)

80xx/81xx (PRE-SIZED) Drainable Pouch FlexWear (standard wear) Skin Barrier With Tape Border With Integrated AF300 Filter Lock 'n Roll Closure Odor-Barrier Rustle-Free Film With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

Box of 10

HCPCS: A4424

Transparent Stock No 8025 8030 8035 8040 Beige Stock No 8125 8130 8135 8140 Barrier Opening 1" (25 mm) 1-3/16" (30 mm) 1-3/8" (35 mm) 1-9/16" (40 mm) Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm)

883xx/884xx (PRE-SIZED) Drainable Pouch SoftFlex (standard wear) Skin Barrier Without Tape Border With Integrated AF300 Filter Lock 'n Roll Microseal Closure Odor-Barrier Rustle-Free Film With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

Box of 10

HCPCS: A4424

Transparent Stock No 88425 88430 88435 88440 Beige Stock No 88325 88330 88335 88340 Barrier Opening 1" (25 mm) 1-3/16" (30 mm) 1-3/8" (35 mm) 1-9/16" (40 mm) Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm)

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Hollister Incorporated

45

Premier One-Piece Pouching System

Drainable Pouches with Flat Barriers (continued)

887xx (PRE-SIZED) Drainable Mini-Pouch SoftFlex (standard wear) Skin Barrier Without Tape Border With Integrated AF300 Filter Lock 'n Roll Microseal Closure Odor-Barrier Rustle-Free Film With ComfortWear Panels - Beige -- Both Sides

Box of 20

HCPCS: A4424

Beige Stock No 88725 88730 88735 88740 Barrier Opening 1" (25 mm) 1-3/16" (30 mm) 1-3/8" (35 mm) 1-9/16" (40 mm) Pouch Length 7" (18 cm) 7" (18 cm) 7" (18 cm) 7" (18 cm)

Drainable Pouches with Convex Barriers

858x (CUT-TO-FIT) Drainable Pouch Flextend (extended wear) Skin Barrier With Tape Border Integrated AF300 Filter Lock 'n Roll Closure Odor-Barrier Rustle-Free Film With ComfortWear Panel -- Body Side Only

Box of 5

HCPCS Code: A5057

Transparent Stock No 8584 8588 85811 Barrier Opening up to 1" (25 mm) up to 1-1/2" (38 mm) up to 2" (51 mm) Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm)

852x/850x (CUT-TO-FIT) Drainable Pouch Flextend (extended wear) Skin Barrier With Tape Border Without Integrated Filter Lock 'n Roll Closure Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

Box of 5

HCPCS: A4390

Transparent Stock No 8524 8528 85211 Beige Stock No 8504 8508 85011 Barrier Opening up to 1" (25 mm) up to 1-1/2" (38 mm) up to 2" (51 mm) Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm)

46

Hollister Incorporated

1.888.740.8999

Drainable Pouches with Convex Barriers (continued)

862x (CUT-TO-FIT) Drainable Pouch Flextend (extended wear) Skin Barrier With Tape Border Without Integrated Filter Clamp Closure Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panel -- Body Side Only

Box of 5

HCPCS: A4390

Transparent Stock No 8624 8628 86211 Barrier Opening up to 1" (25 mm) up to 1-1/2" (38 mm) up to 2" (51 mm) Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm)

851x/859x (PRE-SIZED) Drainable Pouch Flextend (extended wear) Skin Barrier With Tape Border Without Integrated Filter Lock 'n Roll Closure Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

Box of 5

HCPCS: A4390

Transparent Stock No 8510 8511 8512 8513 8514 8515 85116 -- 85118 85119 Beige Stock No 8590 8591 8592 8593 8594 8595 8596 8597 -- 8599 Barrier Opening 3/4" (19 mm) 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 1-5/8" (41 mm) 1-3/4" (44 mm) 2" (51 mm) Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm)

861x (PRE-SIZED) Drainable Pouch Flextend (extended wear) Skin Barrier With Tape Border Without Integrated Filter Clamp Closure Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panel -- Body Side Only

Box of 5

HCPCS: A4390

Transparent Stock No 8610 8611 8612 8613 8614 8615 8616 8617 8618 8619 Barrier Opening 3/4" (19 mm) 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 1-5/8" (41 mm) 1-3/4" (44 mm) 2" (51 mm) Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm)

convex producT www.hollister.com Hollister Incorporated

47

Premier One-Piece Pouching System

High Output Drainable Pouches

80070/80110 (CUT-TO-FIT) Box of 10 Non Sterile, Drainable Pouch Flextend (extended wear) Skin Barrier -- Flat With Soft Tap With Access Window Odor-Barrier Film With ComfortWear Panel -- Body Side Only

HCPCS: A6154

Ultra-Clear Stock No 80070 80110 Barrier Opening up to 2-3/4" (70 mm) up to 4-1/3" (110 mm) Pouch Length 12" (30 cm) 12" (30 cm)

81070/81110 (CUT-TO-FIT) Box of 5 Sterile, Drainable Pouch Flextend (extended wear) Skin Barrier -- Flat With Soft Tap With Access Window Odor-Barrier Film With ComfortWear Panel -- Body Side Only

HCPCS: A6154

Ultra-Clear Stock No 81070 81110 Barrier Opening up to 2-3/4" (70 mm) up to 4-1/3" (110 mm) Pouch Length 12" (30 cm) 12" (30 cm)

48

Hollister Incorporated

1.888.740.8999

Hollister Universal Catheter Access Port

9779 Graduated nipple and punch allows introduction of catheter or drain through pouch Sterile

Stock No 9779

Quantity/Box 8

Wound Drainage Collectors

970x/977x For Management of Draining Wounds, Fistulae, or Draining Tube Sites Available With and Without FlexWear (standard wear) Skin Barriers -- Flat Sterile and Non Sterile Drainable Pouches Odor-Barrier Film With Access Window Reclosable Cap Without Starter Hole

HCPCS: A6154

With Barrier: Non Sterile Stock No 9773 9776 9778 With Barrier: Sterile Stock No 9701 9702 9703 Without Barrier: Sterile Stock No 9772 9775 9777 Description Small (for wounds up to 3") Medium (for wounds up to 3-3/4") Large (for wounds up to 4" x 8") Quantity/ Box 10 10 3 Quantity/ Box 5 5 3 Quantity/ Box 10 10 3

Description Small (for wounds up to 3") Medium (for wounds up to 3-3/4") Large (for wounds up to 4" x 8")

Description Small (for wounds up to 3") Medium (for wounds up to 3-3/4") Large (for wounds up to 4" x 8")

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Premier One-Piece Pouching System

Closed Pouches

82300/82400 (CUT-TO-FIT) Box of 30 Closed Pouch SoftFlex (standard wear) Skin Barrier -- Flat Without Tape Border With Integrated AF300 Filter Odor-Barrier Rustle-Free Film With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

HCPCS: A4416

Transparent Stock No 82400 Beige Stock No 82300 Barrier Opening up to 2-1/8" (55 mm) Pouch Length 9" (23 cm)

82302/82402 (OVAL CUT-TO-FIT) Box of 30 Closed Pouch SoftFlex (standard wear) Skin Barrier -- Flat Without Tape Border With Integrated AF300 Filter Odor-Barrier Rustle-Free Film With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

HCPCS: A4416

Transparent Stock No 82402 Beige Stock No 82302 Barrier Opening 3 x 2.5" (75 mm x 65 mm) Pouch Length 9" (23 cm)

82100/82500 (CUT-TO-FIT) Box of 30 Closed Mini-Pouch SoftFlex (standard wear) Skin Barrier -- Flat Without Tape Border With Integrated AF300 Filter Odor-Barrier Rustle-Free Film With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

HCPCS: A4416

Transparent Stock No 82500 Beige Stock No 82100 Barrier Opening up to 2-1/8" (55 mm) Pouch Length 7" (18 cm)

823xx (PRE-SIZED) Box of 30 Closed Pouch SoftFlex (standard wear) Skin Barrier -- Flat Without Tape Border With Integrated AF300 Filter Odor-Barrier Rustle-Free Film With ComfortWear Panels -- Both Sides

HCPCS: A4416

Beige Stock No 82325 82330 82335 Barrier Opening 1" (25 mm) 1-3/16" (30 mm) 1-3/8" (35 mm) Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm)

50

Hollister Incorporated

1.888.740.8999

Closed Pouches (continued)

821xx (PRE-SIZED) Box of 30 Closed Mini-Pouch SoftFlex (standard wear) Skin Barrier -- Flat Without Tape Border With Integrated AF300 Filter Odor-Barrier Rustle-Free Film With ComfortWear Panels -- Both Sides

HCPCS: A4416

Beige Stock No 82125 82130 82135 Barrier Opening 1" (25 mm) 1-3/16" (30 mm) 1-3/8" (35 mm) Pouch Length 7" (18 cm) 7" (18 cm) 7" (18 cm)

Stoma Cap

1796 (PRE-SIZED) Box of 30 Stoma Cap SoftFlex (standard wear) Skin Barrier -- Flat Without Tape Border With Integrated Filter Odor-Barrier Film

HCPCS: A5055

Beige Stock No 1796 Barrier Opening 1-15/16" (50 mm) Size 4" (102 mm)

Urostomy Pouches with Flat Barriers

8450/8460/8440 (CUT-TO-FIT) Urostomy Pouch Flextend (extended wear) Skin Barrier With Tape Border Odor-Barrier Rustle-Free Film Odor-Barrier Film -- Ultra-Clear With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

Box of 10

HCPCS: A4428

Transparent Ultra-Clear Stock No Stock No 8460 8450 Beige Stock No 8440 Barrier Opening up to 2-1/2" (64 mm) Pouch Length 9" (23 cm)

846x/844x (PRE-SIZED) Urostomy Pouch Flextend (extended wear) Skin Barrier With Tape Border Odor-Barrier Rustle-Free Film With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

Box of 10

HCPCS: A4428

Transparent Stock No 8467 8462 8468 8463 8469 8464 Beige Stock No 8447 8442 8448 8443 8449 8444 Barrier Opening 3/4" (19 mm) 1" (25 mm) 1-1/4" (32 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 2" (51 mm) Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm)

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51

Premier One-Piece Pouching System

Urostomy Pouches with Convex Barriers

847x/843x (CUT-TO-FIT) Urostomy Pouch Flextend (extended wear) Skin Barrier With Tape Border Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

Box of 5

HCPCS: A4430

Transparent Stock No 8474 8478 84711 Beige Stock No 8434 8438 84311 Barrier Opening up to 1" (25 mm) up to 1-1/2" (38 mm) up to 2" (51 mm) Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm)

848x/849x (PRE-SIZED) Urostomy Pouch Flextend (extended wear) Skin Barrier With Tape Border Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

Box of 5

HCPCS: A4430

Transparent Stock No 8480 8481 8482 8483 8484 8485 8486 8487 8488 8489 Beige Stock No 8490 8491 8492 8493 8494 8495 8496 8497 8498 8499 Barrier Opening 1/2" (13 mm) 5/8" (16 mm) 3/4" (19 mm) 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm)

Non Sterile Kits -- Drainable

89001 (CUT-TO-FIT) Box of 5 Kits Colostomy/Ileostomy Kit Includes: (1) 88401 SoftFlex (standard wear) Skin Barrier Without Tape Border Without Integrated Filter Lock 'n Roll Closure Single-Use Package

HCPCS: A5061

Ultra-Clear Stock No 89001 Barrier Opening up to 2-1/2" (64 mm) Pouch Length 12" (30 cm)

convex producT

52

Hollister Incorporated

1.888.740.8999

Non Sterile Kits -- Drainable (continued)

89002 (CUT-TO-FIT) Box of 5 Kits Colostomy/Ileostomy Kit Includes: (1) 88501 SoftFlex (standard wear) Skin Barrier Without Tape Border Without Integrated Filter Clamp Closure Single-Use Package

HCPCS: A5061

Ultra-Clear Stock No 89002 Barrier Opening up to 2-1/2" (64 mm) Pouch Length 12" (30 cm)

89003 (CUT-TO-FIT) Box of 5 Kits Colostomy/Ileostomy Kit Includes: (1) 8651 Flextend (extended wear) Skin Barrier With Tape Border Without Integrated Filter Clamp Closure Single-Use Package

HCPCS: A4388

Ultra-Clear Stock No 89003 Barrier Opening up to 2-1/2" (64 mm) Pouch Length 12" (30 cm)

89004 (CUT-TO-FIT) Box of 5 Kits Colostomy/Ileostomy Kit Includes: (1) 8531 Flextend (extended wear) Skin Barrier With Tape Border Without Integrated Filter Lock 'n Roll Closure Single-Use Package

HCPCS: A4388

Ultra-Clear Stock No 89004 Barrier Opening up to 2-1/2" (64 mm) Pouch Length 12" (30 cm)

Non Sterile Kits -- Urostomy

89005 (CUT-TO-FIT) Box of 5 Kits Urostomy Kit Includes: (1) 8450 Flextend (extended wear) Skin Barrier With Tape Border (1) 7331 Single-Use Package

HCPCS: A4428

Ultra-Clear Stock No 89005 Barrier Opening up to 2-1/2" (64 mm) Pouch Length 9" (23 cm)

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53

54

Hollister Incorporated

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Pouchkins Pediatric Pouching System

Pouchkins Pediatric Pouching System

Pouchkins

Pediatric Pouching System

Hollister Ostomy. Details Matter.

www.hollister.com

58

Hollister Incorporated

1.888.740.8999

Pouchkins Pediatric Pouching System

Premie Pouch

3777 (CUT-TO-FIT) Box of 15 Use as a Premie Closed or Drainable Pouch SoftFlex (standard wear) Skin Barrier -- Flat Without Tape Border Without Starter Hole Without Integrated Filter Odor-Barrier Film Soft Wire Closure Without ComfortWear Panels

HCPCS: A5052 + A4362

Ultra-Clear Stock No 3777 Barrier Opening up to 5/8" (15 mm) Pouch Length 4-1/2" (11.5 cm)

Newborn Pouch

3778 (CUT-TO-FIT) Box of 15 Newborn Pouch; Use With or Without the Drain Valve SoftFlex (standard wear) Skin Barrier -- Flat Without Tape Border Without Integrated Filter Soft Wire Closure Odor-Barrier Film Without ComfortWear Panels

HCPCS: A5062 + A4362

Ultra-Clear Stock No 3778 Barrier Opening up to 1-3/8" x 7/8" (35 mm x 22 mm) Pouch Length 6-1/2" (16 cm)

One-Piece Pouches

3796 (CUT-TO-FIT) Box of 10 Drainable Pouch SoftFlex (standard wear) Skin Barrier -- Flat Without Starter Hole Without Tape Border Without Integrated Filter Lock 'n Roll Microseal Closure Odor-Barrier Rustle-Free Film With ComfortWear Panels -- Body Side Only

HCPCS: A5061

Transparent Stock No 3796 Barrier Opening up to 1-1/2" (38 mm) Pouch Length 6-1/2" (16 cm)

3795 (CUT-TO-FIT) Box of 10 Drainable Pouch SoftFlex (standard wear) Skin Barrier -- Flat Without Starter Hole Without Tape Border With Integrated AF300 Filter Lock 'n Roll Microseal Closure Odor-Barrier Rustle-Free Film With ComfortWear Panels -- Body Side Only

HCPCS: A4424

Transparent Stock No 3795 Barrier Opening up to 2" (51 mm) Pouch Length 7" (18 cm)

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59

Pouchkins Pediatric Pouching System

One-Piece Pouches (continued)

3797 (CUT-TO-FIT) Box of 10 Urostomy Pouch SoftFlex (standard wear) Skin Barrier -- Flat Without Starter Hole Without Tape Border Odor-Barrier Rustle-Free Film With ComfortWear Panels -- Body Side Only

HCPCS: A5071

Transparent Stock No 3797 Barrier Opening up to 1-1/2" (38 mm) Pouch Length 8-3/4" (22 cm)

Two-Piece Skin Barrier

3761 (CUT-TO-FIT) Box of 5 SoftFlex (standard wear) Skin Barrier -- Flat Without Starter Hole Without Tape Border

HCPCS: A4414

Transparent Stock No 3761 Flange Size Barrier Opening up to 1-1/4" (32 mm)

c 1-3/4" (44 mm)

Two-Piece Pouches

3799 Box of 10 Drainable Pouch Without Integrated Filter Lock 'n Roll Microseal Closure Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panel -- Body Side Only

HCPCS: A5063

Transparent Stock No 3799 Flange Size Pouch Length 6-1/2" (16 cm)

c 1-3/4" (44 mm)

18292/18282 Drainable Pouch With Integrated AF300 Filter Lock 'n Roll Microseal Closure Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panel - Transparent -- Body Side Only - Beige -- Both Sides

Box of 20

HCPCS: A4425

Transparent Stock No 18292 Beige Stock No 18282 Flange Size Pouch Length 7" (18 cm)

c 1-3/4" (44 mm)

60

Hollister Incorporated

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Two-Piece Pouches (continued)

18382/18392 Closed Mini-Pouch With Integrated AF300 Filter Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

Box of 60

HCPCS: A4419

Transparent Stock No 18382 Beige Stock No 18392 Flange Size Pouch Length 7" (18 cm)

c 1-3/4" (44 mm)

18402/18412 Urostomy Pouch Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panels - Transparent -- Body Side Only - Beige -- Both Sides

Box of 10

HCPCS: A4432

Transparent Stock No 18402 Beige Stock No 18412 Flange Size Pouch Length 9" (23 cm)

c 1-3/4" (44 mm)

Pediatric Ostomy Belt

3774 Ostomy Belt - White Color

Single Unit

HCPCS: A4367

Stock No 3774 Length 10"- 17" (25 cm-43 cm)

Did you know...

Pouchkins Product Features:

· SoftFlex Skin Barrier with no starter hole · Integrated Floating Flange · No tape borders · Integrated Lock 'n Roll Closure · ComfortWear Panel

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62

Hollister Incorporated

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Ostomy Accessories

Ostomy Accessories

Adapt

Ostomy Accessories

Hollister Ostomy. Details Matter.

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Hollister Incorporated

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Ostomy Accessories

Adapt Skin Barrier Accessories

780x Adapt Barrier Rings (Flat) Flextend M (extended wear) Material

Box of 10

HCPCS: A4385

Stock No 7805 7806 Outer Diameter 2" (48 mm) 4" (98 mm)

795xx Adapt Convex Barrier Rings Flextend (extended wear) Material

Box of 10

HCPCS: A4411

Stock No 79520 79530 79540 Inner Diameter 13/16" (20 mm) -- can be stretched to 1" (25 mm) 1-3/16" (30 mm) -- can be stretched to 1-3/8" (35 mm) 1-9/16" (40 mm) -- can be stretched to 1-3/4" (45 mm)

796xx Adapt Oval Convex Barrier Rings Flextend (extended wear) Material

Box of 10

HCPCS: A4411

Stock No 79601 79602 79603 Inner Diameter

NEW!

7/8" x 1-1/2" (22 mm x 38 mm) -- can be stretched to 1-1/8" x 1-3/4" (27 mm x 43 mm) 1-3/16" x 1-7/8 (30 mm x 48 mm) -- can be stretched to 1-3/8" x 2-1/8" (35 mm x 53 mm) 1-1/2" x 2-3/16" (38 mm x 56 mm) -- can be stretched to 1-3/4" x 2-3/8" (43 mm x 61 mm)

79400 Adapt Barrier Strips Flextend (extended wear) Material

Box of 10

HCPCS: A4385

Stock No 79400 Size 60 g Length 5-1/8" (13 cm)

Adapt Skin Barrier Paste

79300/79301 Adapt Paste

HCPCS: A4406

Stock No 79300 79301 Description 2 oz (57 g) tube 0.5 oz (14 g) tube Quantity Box of 1 Box of 20

Adapt Stoma Powder

7906 Adapt Stoma Powder

Box of 1

HCPCS: A4371

Stock No 7906 Description 1 oz (28.3 g) puff bottle

Adapt Odor Eliminator and Lubricant

78500/78501 Adapt Lubricating Deodorant

HCPCS Code: A4394

Stock No 78500 78501 Description 8 oz (236 mL) bottle 0.27 oz (8 mL) packet Quantity Box of 1 50 Packets/Box

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Ostomy Accessories

Adapt Ostomy Belts

7300/7299 Ostomy Belts Beige Color

Box of 10

HCPCS: A4367

Stock No 7300 7299 Size 23"-43" (58 cm-109 cm) Medium 34"-65" (86 cm-165 cm) Large

Skin Barrier

8800 8801 Flextend (extended wear) Skin Barrier

HCPCS for 8800: A4385 HCPCS for 8801: A5122

Stock No 8800 8801 Size 4 x 4" (10 cm x 10 cm) 8 x 8" (20 cm x 20 cm) Box of 5 Box of 3

Skin Prepping Product

7917 Skin Gel Protective Dressing Wipes

12 Cartons of 50 Wipes Each

HCPCS: A5120

Stock No 7917

Adhesives and Removers

7760 Universal Remover Wipes For Adhesives and Barriers

12 Cartons of 50 Wipes Each

HCPCS: A4456

Stock No 7760

7730 Box of 4 Medical Adhesive Improves Adhesive Contact Between Skin and Barrier

HCPCS: A4364

Stock No 7730 Description 3.2 oz (90 g) spray can

7731 Medical Adhesive Remover

Box of 4

HCPCS: A4455

Stock No 7731 Description 2.7 oz (76 g) spray can

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Hollister Incorporated

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Odor Eliminators

773x m9 Odor Eliminator Spray

HCPCS: No Code

Stock No (unscented) 7732 7733 Description 2 oz (60 mL) pump spray 8 oz (240 mL) pump spray (Green Apple Scented) Description 2 oz (60 mL) pump spray 8 oz (240 mL) pump spray Quantity Box of 12 Box of 6

Stock No 7734 7735

Quantity Box of 12 Box of 6

771x m9 Odor Eliminator Drops

HCPCS: A4394

Stock No 7715 7717 Description 1 oz (30 mL) bottle 8 oz (240 mL) bottle Quantity Box of 12 Box of 6

Cleaner/Decrystallizer

7736 m9 Cleaner/Decrystallizer Cleans Urinary Drainage Systems pH Balanced and Non-Acidic Free Wash Bottle Included

Box of 12

HCPCS: A5131

Stock No 7736 Description 16 oz (480 mL) bottle

Drainable Pouch Clamp

8770 Drainable Pouch Clamp

Box of 20

HCPCS: A4363

Stock No 8770 Color Beige

Urostomy Drain Tube Adapter

7331 Urostomy Drain Tube Adapter

Box of 10

HCPCS: A4421

Stock No 7331

Skin Care Products

517210 Restore Skin Cleanser

Box of 12

HCPCS: A9270

Stock No 517210 Description 8 oz (237 mL) pump spray

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Ostomy Accessories

Skin Care Products (continued)

517220 Restore Skin Conditioning Creme

Box of 12

HCPCS: A6250

Stock No 517220 Description 4 oz (120 mL) bottle

Irrigation Products

7721 Cone Irrigator Kit Includes: (1) Irrigator (1) Stoma Cone with Connector (1) Cleaning Brush

Box 1

HCPCS: A4398 + A4399

Stock No 7721

7723 Stoma Cone with Connector Replacement Unit

Box of 10

HCPCS: A4399

Stock No 7723

7740 Adapt Stoma Lubricant For Stoma Irrigation

Box of 10

HCPCS: A4402

Stock No 7740 Description 4 oz (120 mL) bottle

7728/7724 Irrigator Sleeve with Belt Tabs Includes Clamp

Box of 20

HCPCS: A4397

Stock No 7728 7724 Opening Size 2" (51 mm) 3" (76 mm) Length 22" (56 cm) 22" (56 cm)

Loop Ostomy Bridge

7767 Loop Ostomy Bridge -- Sterile

Box of 20

HCPCS: A4421

Stock No 7767

70

Hollister Incorporated

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Replacement Filters

7766 Box of 5 Packs Hollister Replacement Filters For use with 366x, 383x and 389x 1 pack contains 20 Filters and 2 Plugs

HCPCS: A4368

Stock No 7766

Bedside Drainage Collection System with Anti-Reflux Valve

9839 Sample Port Sterile Fluid Pathway

Box of 20

HCPCS: A4357

Stock No 9839 Description 68 oz (2000 mL) Capacity

Skin Barrier Pastes and Powders

7910 Karaya 5 Paste

Box of 12

HCPCS: A4405

Stock No 7910 Description 4.5 oz (135 mL) tube

7905 Karaya 5 Powder

Box of 12

HCPCS: A4371

Stock No 7905 Description 2.5 oz (75 mL) puff bottle

Skin Barriers

7800 Premium (standard wear) Skin Barrier

Box of 5

HCPCS: A4362

Stock No 7800 Size 4 x 4" (10 cm x 10 cm)

7700 HolliHesive (standard wear) Skin Barrier

Box of 5

HCPCS: A4362

Stock No 7700 Size 4 x 4" (10 cm x 10 cm)

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CenterPointLock Two-Piece Pouching System

Letter Matching System

To help you select compatible CenterPointLock Two-Piece System components, every CenterPointLock System product box label features a letter designation: H, I, J, K, or L. Once you've selected a CenterPointLock Two-Piece System Skin Barrier, select a pouch, irrigator drain, or stoma cap with a matching letter on the box label. Flat Skin Barriers with Floating Flanges

872x (CUT-TO-FIT) Box of 5 Flextend (extended wear) Skin Barrier, Flat, Tape Border

HCPCS: A4409

Stock No 8727 8722 8723 8724 Letter Match H I J K Flange Size 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) Barrier Opening up to 1" (25 mm) up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm)

875x (CUT-TO-FIT) Flextend (extended wear) Skin Barrier, Flat, Without Tape Border

Box of 5

HCPCS FOR 8752, 8753 & 8757: A4409 HCPCS FOR 8754: A4410

Stock No 8752 8753 8754 Letter Match I J K Flange Size 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) Barrier Opening up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm)

372x (CUT-TO-FIT) Box of 5 FlexWear (standard wear) Skin Barrier, Flat, Tape Border

HCPCS FOR 3722-3724 & 3727: A4414 HCPCS FOR 3726: A4415

Stock No 3727 3722 3723 3724 3726 Letter Match H I J K L Flange Size 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) 4" (102 mm) Barrier Opening up to 1" (25 mm) up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm) up to 3-1/2" (89 mm)

376x (CUT-TO-FIT) SoftFlex (standard wear) Skin Barrier, Flat, Without Tape Border

Box of 5

HCPCS FOR 3762, 3763 & 3767: A4414 HCPCS FOR 3764 & 3766: A4415

Stock No 3767 3762 3763 3764 3766 Letter Match H I J K L Flange Size 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) 4" (102 mm) Barrier Opening up to 1" (25 mm) up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm) up to 3-1/2" (89 mm)

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Flat Skin Barriers with Floating Flanges (continued)

370x (CUT-TO-FIT) Box of 5 HolliHesive (standard wear) Skin Barrier, Flat, Tape Border

HCPCS FOR 3702-3704 & 3707: A4414 HCPCS FOR 3706: A4415

Stock No 3707 3702 3703 3704 3706 Letter Match H I J K L Flange Size 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) 4" (102 mm) Barrier Opening up to 3/4" (19 mm) up to 1" (25 mm) up to 1-1/2" (38 mm) up to 2" (51 mm) up to 3-1/4" (82 mm)

874x (PRE-SIZED) Box of 5 Flextend (extended wear) Skin Barrier, Flat, Tape Border

HCPCS: A4409

Stock No 8743 8744 8745 8746 8747 8748 Letter Match H H I I J J Flange Size 1-1/2" (38 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-1/4" (57 mm) Barrier Opening 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm) 1-3/8" (35 mm) 1-1/2" (38 mm)

374x (PRE-SIZED) Box of 5 FlexWear (standard wear) Skin Barrier, Flat, Tape Border

HCPCS: A4414

Stock No 3747 3742 3748 3743 3749 Letter Match H H I J J Flange Size 1-1/2" (38 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-1/4" (57 mm) Barrier Opening 3/4" (19 mm) 1" (25 mm) 1-1/4" (32 mm) 1-1/2" (38 mm) 1-3/4" (44 mm)

Convex Skin Barriers with Floating Flanges

877x (CUT-TO-FIT) Box of 5 Flextend (extended wear) Skin Barrier, Convex, Tape Border

HCPCS: A4407

Stock No 8774 8778 87711 Letter Match I J K Flange Size 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) Barrier Opening up to 1" (25 mm) up to 1-1/2" (38 mm) up to 2" (51 mm)

873x (PRE-SIZED) Box of 5 Flextend (extended wear) Skin Barrier, Convex, Tape Border

HCPCS: A4407

Stock No 8731 8732 8733 8734 8735 8736 8737 8738 Letter Match H H I I J J J J Flange Size 1-1/2" (38 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-1/4" (57 mm) 2-1/4" (57 mm) 2-1/4" (57 mm) Barrier Opening 5/8" (16 mm) 3/4" (19 mm) 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm) 1-3/8" (35 mm) 1-1/2" (38 mm)

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73

CenterPointLock Two-Piece Pouching System

Convex Skin Barriers with Floating Flanges (continued)

373x (PRE-SIZED) Box of 5 FlexWear (standard wear) Skin Barrier, Convex, Tape Border

HCPCS: A4373

Stock No 3730 3731 3732 3733 3734 3735 3736 3737 3738 3739 37310 37311 Letter Match H H H I I J J J J K K K Flange Size 1-1/2" (38 mm) 1-1/2" (38 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-1/4" (57 mm) 2-1/4" (57 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) 2-3/4" (70 mm) 2-3/4" (70 mm) Barrier Opening 1/2" (13 mm) 5/8" (16 mm) 3/4" (19 mm) 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 1-5/8" (41 mm) 1-3/4" (44 mm) 2" (51 mm)

Drainable Pouches

389x/383x Box of 10 Drainable Pouch, Replaceable Filter, Clamp Closure, Odor-Barrier Rustle-Free Film, Belt Tabs, Without ComfortWear Panels. Includes 1 Bag of 20 Hollister Replacement Filters and 2 Plugs, #7766

HCPCS: A4425 + A4368

Transparent Stock No 3897 3892 3893 3894 Beige Stock No 3837 3832 3833 3834 Letter Match H I J K Flange Size 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm)

881x Box of 10 Drainable Pouch, Without Integrated Filter, Clamp Closure, Odor-Barrier Rustle-Free Film, Belt Tabs, ComfortWear Panels -- Both Sides

HCPCS: A5063

Beige Stock No 8817 8812 8813 8814 Letter Match H I J K Flange Size 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm)

380x/381x Box of 10 Drainable Pouch, Without Integrated Filter, Clamp Closure, Odor-Barrier Rustle-Free Film, Belt Tabs, Without ComfortWear Panels

HCPCS: A5063

Transparent Stock No 3807 3802 3803 3804 3806 Beige Stock No 3817 3812 3813 3814 -- Letter Match H I J K L Flange Size 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) 4" (102 mm) Pouch Length 11" (28 cm) 11" (28 cm) 11" (28 cm) 11" (28 cm) 11" (28 cm)

convex producT

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Hollister Incorporated

1.888.740.8999

Drainable Pouches (continued)

387x Box of 10 High Output Drainable Pouch, Without Integrated Filter, Clamp Closure, Odor-Barrier Film, Belt Tabs Without ComfortWear Panels

HCPCS: A4412

Transparent Stock No 3872 3873 3874 Letter Match I J K Flange Size 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) Pouch Length 16" (40 cm) 16" (40 cm) 16" (40 cm)

384x Box of 10 Drainable Mini-Pouch, Without Integrated Filter, Clamp Closure, Odor-Barrier Rustle-Free Film, Belt Tabs, Without ComfortWear Panels

HCPCS: A5063

Beige Stock No 3847 3842 3843 3844 Letter Match H I J K Flange Size 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm)

Closed Pouches

834x Box of 15 Closed Pouch, Integrated Filter, Odor-Barrier Rustle-Free Film, Belt Tabs, ComfortWear Panels -- Both Sides

HCPCS: A4419

Beige Stock No 8347 8342 8343 8344 Letter Match H I J K Flange Size 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) Pouch Length 7-1/2" (19 cm) 7-1/2" (19 cm) 7-1/2" (19 cm) 7-1/2" (19 cm)

334x Box of 15 Closed Pouch, Integrated Filter, Odor-Barrier Rustle-Free Film, Belt Tabs, Without ComfortWear Panels

HCPCS: A4419

Beige Stock No 3347 3342 3343 3344 Letter Match H I J K Flange Size 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm)

Urostomy Pouches

890x Box of 10 Urostomy Pouch, Odor-Barrier Rustle-Free Film, Belt Tabs, ComfortWear Panels -- Both Sides

HCPCS: A4432

Beige Stock No 8902 8903 Letter Match I J Flange Size 1-3/4" (44 mm) 2-1/4" (57 mm) Pouch Length 9" (23 cm) 9" (23 cm)

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CenterPointLock Two-Piece Pouching System

Urostomy Pouches (continued)

390x Box of 10 Urostomy Pouch, Odor-Barrier Rustle-Free Film, Belt Tabs, Without ComfortWear Panels

HCPCS: A4432

Transparent Stock No 3907 3902 3903 3904 Letter Match H I J K Flange Size 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm)

Stoma Cap

340x Box of 25 Stoma Cap, Integrated Filter, Odor-Barrier Rustle-Free Film Without ComfortWear Panels

HCPCS: A5055

Beige Stock No 3407 3402 3403 3404 Letter Match H I J K Flange Size 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) Pouch Length 4-1/2" (11 cm) 4-1/2" (11 cm) 4-1/2" (11 cm) 4-1/2" (11 cm)

Irrigator Sleeve

382x Irrigator Sleeve, Belt Tabs Includes clamp

Box of 5

HCPCS: A4397

Transparent Stock No 3827 3822 3823 3824 3826 Letter Match H I J K L Flange Size 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) 4" (102 mm) Pouch Length 30" (76 cm) 30" (76 cm) 30" (76 cm) 30" (76 cm) 30" (76 cm)

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Karaya 5 One-Piece Pouching System

Drainable Pouches

366x (PRE-SIZED) Box of 10 Drainable Pouch, Karaya 5 (standard wear) Skin Barrier -- Convex, Tape Border, Replaceable Filter, Pouch Clamp Closure, Odor-Barrier Rustle-Free Film, Belt Tabs, Without ComfortWear Panels. Includes 1 Bag of 20 Hollister Replacement Filters and 2 Plugs, #7766

HCPCS: A4389 + A4368

Transparent Stock No 3662 3668 3663 3669 3664 3665 Pouch Size 1" (25 mm) 1-1/4" (32 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 2" (51 mm) 2-1/2" (64 mm) Barrier Opening 5/8" (16 mm) 7/8" (22 mm) 1-1/8" (29 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 2" (51 mm) Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm)

360x (PRE-SIZED) Box of 10 Drainable Pouch, Karaya 5 (standard wear) Skin Barrier -- Convex, Tape Border, Without Integrated Filter, Pouch Clamp Closure, Odor-Barrier Rustle-Free Film, Belt Tabs, Without ComfortWear Panels

HCPCS: A4389

Transparent Stock No 3608 3603 3609 3604 3605 3606 Pouch Size 1-1/4" (32 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 2" (51 mm) 2-1/2" (64 mm) 3" (76 mm) Barrier Opening 7/8" (22 mm) 1-1/8" (29 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 2" (51 mm) 2-1/2" (64 mm) Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm)

323x (PRE-SIZED) Box of 30 Drainable Mini-Pouch, Karaya 5 (standard wear) Skin Barrier -- Convex, Tape Border, Without Integrated Filter, Pouch Clamp Closure, Odor-Barrier Film, Belt Tabs, Without ComfortWear Panels

HCPCS: A4389

Transparent Stock No 3232 3238 3233 3239 3234 Pouch Size 1" (25 mm) 1-1/4" (32 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 2" (51 mm) Barrier Opening 5/8" (16 mm) 7/8" (22 mm) 1-1/8" (29 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm)

322x (PRE-SIZED) Box of 30 Drainable Pouch, Karaya 5 (standard wear) Skin Barrier -- Convex, Tape Border, Without Integrated Filter, Pouch Clamp Closure, Odor-Barrier Film, Belt Tabs, Without ComfortWear Panels

HCPCS: A4389

Transparent Stock No 3222 3228 3223 3229 3224 3225 3226 Pouch Size 1" (25 mm) 1-1/4" (32 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 2" (51 mm) 2-1/2" (64 mm) 3" (76 mm) Barrier Opening 5/8" (16 mm) 7/8" (22 mm) 1-1/8" (29 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 2" (51 mm) 2-1/2" (64 mm) Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm)

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77

Karaya 5 One-Piece Pouching System

Drainable Pouches (continued)

327x (PRE-SIZED) Box of 30 Drainable Pouch, Karaya 5 (standard wear) Skin Barrier -- Convex, Tape Border, Without Integrated Filter, Pouch Clamp Closure, Odor-Barrier Film, Belt Tabs, Without ComfortWear Panels

HCPCS: A4389

Transparent Stock No 3278 3273 3279 3274 3275 3276 Pouch Size 1-1/4" (32 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 2" (51 mm) 2-1/2" (64 mm) 3" (76 mm) Barrier Opening 7/8" (22 mm) 1-1/8" (29 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 2" (51 mm) 2-1/2" (64 mm) Pouch Length 16" (40 cm) 16" (40 cm) 16" (40 cm) 16" (40 cm) 16" (40 cm) 16" (40 cm)

Closed Pouches

332x (PRE-SIZED) Box of 30 Closed Pouch, Karaya 5 (standard wear) Skin Barrier -- Convex, Tape Border, Integrated Filter, Odor-Barrier Film, Belt Tabs, Without ComfortWear Panels

HCPCS: A4417

Transparent Stock No 3328 3323 3329 3324 3325 3326 Pouch Size 1-1/4" (32 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 2" (51 mm) 2-1/2" (64 mm) 3" (76 mm) Barrier Opening 7/8" (22 mm) 1-1/8" (29 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 2" (51 mm) 2-1/2" (64 mm) Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm)

716x (PRE-SIZED) Box of 30 Closed Pouch, Karaya 5 (standard wear) Skin Barrier -- Convex, Without Tape Border, Without Integrated Filter, Odor-Barrier Film, Belt Tabs, Without ComfortWear Panels

HCPCS: A4387

Transparent Stock No 7168 7163 7169 7164 7165 7166 Pouch Size 1-1/4" (32 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 2" (51 mm) 2-1/2" (64 mm) 3" (76 mm) Barrier Opening 7/8" (22 mm) 1-1/8" (29 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 2" (51 mm) 2-1/2" (64 mm) Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm)

Urostomy Pouches

143x (PRE-SIZED) Box of 10 Urostomy Pouch, Karaya 5 (standard wear) Skin Barrier -- Convex, Tape Border, Odor-Barrier Film, Belt Tabs, Without ComfortWear Panels

HCPCS: A4429

Transparent Stock No 1432 1438 1433 1439 1434 Pouch Size 1"(25 mm) 1-1/4"(32 mm) 1-1/2"(38 mm) 1-3/4"(44 mm) 2"(51 mm) Barrier Opening 5/8"(16 mm) 7/8"(22 mm) 1-1/8"(29 mm) 1-3/8"(35 mm) 1-1/2"(38 mm) Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm)

convex producT

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Other One-Piece Pouching System

Closed Pouches

314x (PRE-SIZED) Box of 30 Closed Mini-Pouch, Tape Adhesive, Integrated Filter, Odor-Barrier Film, Without ComfortWear Panels

HCPCS: A4418

Transparent Stock No 3142 3148 3143 3149 3144 Barrier Opening 1" (25 mm) 1-1/4" (32 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 2" (51 mm) Pouch Length 7" (18 cm) 7" (18 cm) 7" (18 cm) 7" (18 cm) 7" (18 cm)

Stoma Cap

318x (PRE-SIZED) Box of 30 Stoma Cap, Tape Adhesive, Integrated Filter, Odor-Barrier Film, Without ComfortWear Panels

HCPCS: A5055

Beige Stock No 3184 3186 Opening 2" (51 mm) 3" (76 mm) Size 4-1/4" (11 cm) 4-1/4" (11 cm)

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Glossary · Ostomy Care

AF300 Filter: "AF" stands for Air Flow and "300" represents the 300 mm2 air flow surface area on every AF300 Filter Closed Pouch: A pouch without a spout or a clamp. Quick and easy to discard. It must be removed to be emptied Colostomy: An ostomy (surgical opening) created in the colon, part of the large intestine ComfortWear Pouch Panels: Lining over the plastic of the pouch to enhance comfort and discretion. The soft pouch panels may be on one or both sides of the pouch Convex Skin Barrier: May be used when the stoma does not protrude from the abdomen. The skin barrier is shaped to press more deeply around the stoma Cut-to-Fit Skin Barrier: A skin barrier that can be cut to the right size and shape for the stoma by using a scissors Drainable Pouch: A pouch with an opening at the bottom. An integrated closure or clamp is used to keep the pouch closed until it's time to empty it Extended Wear Skin Barrier: Skin barriers with special additives that achieve a stronger adhesive seal and are more resistant to breakdown. Skin barrier of choice for urostomies and ileostomies. Flextend and FormaFlex are examples. It is not recommended to use skin-prepping agents under extended wear skin barriers Filter: Lets gas but not odor out of pouch. The key performance factors of any filter are air flow, deodorization, and liquid protection Flange: The plastic ring in a two-piece ostomy system that is used to connect the two parts together Flat Skin Barrier: May be used when the stoma does protrude from the abdomen Flextend Skin Barrier: Flextend is an extended wear skin barrier that is durable and offers high resistance to erosion. It swells when it comes in contact with liquid to help form a seal between the skin and the stoma. It offers strong adhesion and flexibility FlexWear Skin Barrier: FlexWear is a standard wear skin barrier that provides moderate adhesion, and offers a good balance of durability and gentleness. It is designed to be worn more than one day and tends to hold its shape in the presence of fluids Floating Flange: Allows for fingers to be put under the flange for support while attaching the pouch to the barrier on a two-piece pouching system. The New Image system has an integrated floating flange FormaFlex Skin Barrier: An extended wear skin barrier which is resistant to discharge. It has the ability to be stretched to fit the size and shape of the stoma without the use of a scissors. Found as an option in the New Image two-piece system Ileostomy: An ostomy (surgical opening) created in the small intestine

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Irrigation: A procedure used to control the time of elimination from colostomy. It is not for everyone and requires special equipment and teaching Karaya 5 Skin Barrier: Karaya is a natural skin barrier that is well-suited for thin, fragile, and sensitive skin or in some cases where irritant dermatitis has occurred. It is mildly adhesive and needs a belt or tape to secure the pouching system Lock 'n Roll Microseal Closure: An integrated system for closing the bottom of drainable pouches. This system utilizes plastic interlocking microseals to create a secure closure. Found on New Image, Premier, and Pouchkins drainable pouches Odor-Barrier Pouch: Odor-Barrier Pouch is highly resistant in allowing odors to pass through the pouch film. The Odor-Barrier quality increases confidence when wearing a pouch Pre-Sized Skin Barrier: A skin barrier that is already cut to the proper size if stoma is round QuietWear Pouch Material: A Hollister Technology that is comprised of a pouch film and ComfortWear panel that are laminated together. This special design results in the reduction of the pouch rustling noise Rustle-Free Pouch: Rustle-Free Pouch provides for ultimate discretion since the pouch does not make noise during normal wear Shape-To-Fit: A skin barrier that can be stretched to the shape and size of the stoma. This skin barrier does not require use of a scissors. A possible choice when the stoma is not round or still changing sizes Skin Barrier: Portion of the pouching system that protects the skin from contact with the discharge. It also provides an adhesive attachment for the pouching system to the body. Examples include Flextend, FlexWear, SoftFlex, and FormaFlex SoftFlex Skin Barrier: SoftFlex is a standard wear skin barrier, which has an adhesive that is gentle to the skin, and allows for frequent pouch changes. It offers lower erosion resistance, and is thin and flexible without compromising security Standard Wear Skin Barrier: Provides a gentle adhesive attachment to the skin. These skin barriers absorb less and disintegrate faster than extended wear skin barriers. Examples include FlexWear and SoftFlex Stoma: The place where the drainage comes out of the body when you have an ostomy. The stoma is red and moist and doesn't have feeling Urostomy: An ostomy (surgical opening) created to drain urine Urostomy Pouch: Pouch with a drain tap at the bottom so urine can be emptied quickly and easily Wear Time: Wear time is the length of time a product can be worn before failure. Wear time varies widely based upon a variety of factors

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Continence Care

Continence Care

Hollister Continence Care

People First.

Hollister Continence Care is committed to people and to helping empower their lives. Our products and services are testimony ­ rst and foremost ­ to the assurance that quality of life needn't be compromised by managing one's continence.

Intermittent Catheters

Male External Catheters

Leg Bag Systems

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Table of Contents · Continence Care

General Information............................................................................87 HCPCS Codes Disclaimer .................................................................87 Explanation of Third Party Code Reimbursement System...................87 (National Health Related Items Code) Medicare Utilization Chart ............................................................88­89 Intermittent Catheters ..................................................................92­94 Apogee Intermittent Catheter...........................................................92 Apogee Plus System ......................................................................93 Apogee Plus System Kit .................................................................93 Advance Plus Touch Free Intermittent Catheter ...............................94 Advance Plus Touch Free Intermittent Catheter System...................94 Male External Catheters .....................................................................95 InView Male External Catheters .......................................................95 Extended Wear Male External Catheter ...........................................95 Everyday Male External Catheter.....................................................95 Leg Bag Systems ...............................................................................96 Urinary Leg Bag...............................................................................96 Urinary Leg Bag Combination Pack ..................................................96 Vented Urinary Leg Bag Combination Pack .......................................96 Accessories ........................................................................................97 Fabric Leg Bag Straps .....................................................................97 Latex-Free Extension Tubing ............................................................97 Collection Systems .............................................................................98 Bedside Drainage Collection System with Anti-Reflux Valve...............98 Male Urinary Pouch External Collection Device..................................98 Female Urinary Pouch External Collection Device ..............................98 Glossary · Continence Care ...............................................................99

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General Information

HCPCS Codes Disclaimer

The reimbursement information provided herein is intended to provide general information concerning coding of Hollister products only. Hollister does not guarantee coverage or payment for any products. The ultimate responsibility for proper coding, satisfying reimbursement requirements, and obtaining reimbursement remains with the provider. Coding and coverage policies and guidelines are complex, can vary from one carrier or region to another, and are updated frequently. Providers should check with their local carriers or intermediaries often and should consult with counsel, a reimbursement specialist, and/or the DMECS website for any coding, coverage, reimbursement, or billing questions. HCPCS codes shown in this Product Catalog are current as of 1-6-12.

Explanation of Third Party Code Reimbursement System (National Health Related Items Code)

To facilitate reimbursement of Hollister products, some Third Party Payment Programs require the use of an eleven-digit reimbursement number. Every Hollister manufactured product can be identified by an eleven-digit number. In general, the first five numbers identify the manufacturer's labeler code, and the last six numbers represent the product stock number. The labeler code for Hollister Incorporated is 08380. The labeler code for Hollister Wound Care LLC is 08567, and the labeler code for the Apogee product line is 08598. In order to utilize this coding system, follow these examples. To code a four-digit stock number: The Third Party Reimbursement Number for the Apogee 12 Fr Intermittent Catheter, Stock Number 1048 listed in the catalog on page 92, is: 08598-0010-48 08598 identifies Apogee. 0010-48 identifies the product Stock Number. To code a five-digit stock number: The Third Party Reimbursement Number for the Advance Plus Intermittent Catheter Kit 12 Fr, straight tip, Stock Number 96124 listed in the catalog on page 94 is: 08380-0961-24 08380 identifies Hollister Incorporated. 0961-24 identifies the product Stock Number. For more information regarding how to code the Apogee Closed System products with the alpha-numeric Stock Numbers, please contact Hollister Incorporated at 1.888.740.8999.

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87

Medicare Utilization Chart

Medicare's Usual Maximum Quantity for Urological Supplies

The quantity of urological supplies needed by a patient is determined by many factors. There will be variation according to individual need and their needs may vary over time. The table below lists the maximum number of items/units of service that are medically necessary. The actual quantity needed for a particular patient may be more or less than the amount listed. The medical necessity for use of a greater quantity of supplies than the amounts listed must be clearly documented in the patient's medical record, and must be available upon request. Per LCD for Urological Supplies (L5080), NHIC effective Feb. 4, 2011

HCPCS Long Description Quantity

A4217 Sterile water/saline, 500 mL A4310 Insert tray without drainage bag and without 1 tray/insertion catheter (accessories only) A4311 Insertion tray without drainage bag with indwelling 1 tray/insertion catheter, foley type, two-way latex with coating (Teflon, silicone, silicone elastomer, or hydrophilic, etc.) A4312 Insertion tray without drainage bag with indwelling 1 tray/insertion catheter, foley type, two-way all silicone A4313 Insertion tray without drainage bag with indwelling 1 tray/insertion catheter, foley type, three-way, for continuous irrigation A4314 Insertion tray with drainage bag with indwelling 1 ea/mo catheter, foley type, two-way latex with coating (Teflon, silicone, silicone elastomer, or hydrophilic, etc.) A4315 Insertion tray with drainage bag with indwelling 1 ea/mo catheter, foley type, two-way, all silicone A4316 Insertion tray with drainage bag with indwelling 1 ea/mo catheter, foley type, three-way, for continuous irrigation A4320 Irrigation tray with bulb or piston syringe, any purpose A4321 Therapeutic agent for urinary catheter irrigation A4322 Irrigation syringe, bulb, or piston, each A4326 Male external catheter with integral collection chamber, any type, each A4327 Female external urinary collection device; meatal cup, each 1 ea/wk A4328 Female external urinary collection device; pouch, each 1 ea/day A4331 Extension drainage tubing, any type, any length, with connector/adapter, for use with urinary leg bag or urostomy pouch, each A4332 Lubricant, individual sterile packet, each 200 ea/mo A4333 Urinary catheter anchor device, adhesive skin 3 ea/wk attachment, each A4334 Urinary catheter anchoring device, leg strap, each 1 ea/mo A4335 Incontinence supply; miscellaneous A4336 Incontinence supply, urethral insert, any type, each A4338 Indwelling catheter; foley type, two-way latex with coating 1 ea/mo (Teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4340 Indwelling catheter; specialty type, (e.g., coudé, mushroom, 1 ea/mo wing, etc.), each A4344 Indwelling catheter, foley type, two-way, all silicone, each 1 ea/mo A4346 Indwelling catheter; foley type, three-way for continuous 1 ea/mo irrigation, each A4349 Male external catheter, with or without adhesive, 35 ea/mo disposable, each No

established usual maximum, refer to Medicare Utilization Guidelines.

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HCPCS Long Description

Quantity

A4351 Intermittent urinary catheter; straight tip, with or without 200 ea/mo coating (Teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4352 Intermittent urinary catheter; coudé (curved) tip, with or 200 ea/mo without coating (Teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4353 Intermittent urinary catheter, with insertion supplies 200 ea/mo A4354 Insertion tray with drainage bag but without catheter 1 ea/mo A4355 Irrigation tubing set for continuous bladder irrigation 1 ea/day through a three-way indwelling foley catheter, each A4356 External urethral clamp or compression device 1 ea/3 mo (not to be used for catheter clamp), each A4357 Bedside drainage bag, day or night, with or without 2 ea/mo anti-reflux device, with or without tube, each A4358 Urinary drainage bag, leg or abdomen, vinyl, with or 2 ea/mo without tube, with straps, each A4360 Disposable external urethral clamp or compression device, NC with pad and/or pouch, each A4402 Lubricant, per ounce A4450 Tape, non-waterproof, per 18 square inches 10 units (18 sq in)/mo A4452 Tape, waterproof, per 18 square inches 10 units (18 sq in)/mo A4455 Adhesive remover or solvent (for tape, cement, or other adhesive), per ounce A4520 Incontinence garment, any type (e.g., brief, diaper), each A4456 Adhesive remover, wipes, any type, each NC A4554 Disposable underpads, all sizes A5102 Bedside drainage bottle with or without tubing, rigid or 1 ea/3 mo expandable, each A5105 Urinary suspensory with leg bag, with or without tube, each A5112 Urinary drainage bag, leg or abdomen, latex, with or 1 ea/mo without tube, with straps, each A5113 Leg strap; latex, replacement only, per set A5114 Leg strap, foam or fabric, replacement only, per set A5131 Appliance cleaner, incontinence and ostomy 1 (16 oz)/mo appliances, per 16 ounce A5200 Percutaneous catheter/tube anchoring device, adhesive skin attachment A9270 Non-covered item or service

No

established usual maximum, refer to Medicare Utilization Guidelines.

Note: Intermittent catheterization using a sterile intermittent catheter kit (A4353) is covered when the patient requires catheterization and the patient meets one of the following criteria (1-5): 1) The patient resides in a nursing facility 2) The patient is immunosuppressed, for example (not all-inclusive): on a regimen of immunossuppressive drugs post-transplant, on cancer chemotherapy, has AIDS, has a drug-induced state such as chronic oral corticosteriod use 3) The patient has radiologically documented vesico-urethral reflux while on a program of intermittent catheterization 4) The patient is a spinal-cord-injured-female with neurogenic bladder who is pregnant (for duration of pregnancy only) 5) The patient has had distinct, recurrent urinary tract infections, while on a program of sterile intermittent catheterization with A4351/A4352 and sterile lubricant A4332, twice within the 12 months prior to the initiation of sterile intermittent catheter kits.

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Advance Plus

Touch Free Intermittent Catheter System

Update Photo TO COME

Con dence. Pure and simple.

Hollister Advance Plus Intermittent Catheter features Touch Free technology enabling users to catheterize with con dence ­ anytime, anywhere ­ supporting user mobility and independence.

A unique Touch Free protective introducer tip helps reduce the risk of carrying bacteria into the urinary system. The Advance Plus Touch Free collection bag shields the sterile catheter from possible environmental contamination. Ultra-smooth catheter eyelets, together with a unique gel reservoir, help ensure trouble-free insertion and withdrawal for enhanced user convenience and comfort.

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Information for Use: Intermittent Catheters are exible tubular devices inserted through the urethra for the purpose of bladder drainage. Self-catheterization should only be carried out under medical advice and only in accordance with the instructions provided with the product. Should a patient experience any sign of trauma or discomfort, they should immediately discontinue use and consult their clinician. Caution: Federal (USA) law restricts this device to sale by or on the order of a licensed healthcare professional. Date of Issuance: January 2012.

Intermittent Catheters

Apogee Intermittent Catheter

10xx Ultra-Smooth Eyelets Latex-Free (exceptions noted below) Designed for Comfort

Box of 30 Box of 50

HCPCS: A4351 HCPCS for 1021, 1035, 1050, 1066, 1086, 1087 & 1097: A4352

15" Length Stock No 1007 16" Length Stock No 1018 1034 1048 1064 1082 1096 1036 1046 1061 1083 1049 1065 1074A 1050 1066 1086 1021 1035 1097 1087 1051 1067 1084 10" Length Stock No 1020 1040 6" Length Stock No 1016 1033 1047 1062 1063

Size 6 Fr Size 8 Fr 10 Fr 12 Fr 14 Fr 16 Fr 18 Fr 10 Fr 12 Fr 14 Fr 16 Fr 12 Fr 14 Fr 14 Fr 12 Fr 14 Fr 16 Fr 8 Fr 10 Fr 18 Fr 16 Fr 12 Fr 14 Fr 16 Fr Size 8 Fr 10 Fr Size 8 Fr 10 Fr 12 Fr 14 Fr 14 Fr

Description Firm Description Firm Firm Firm Firm Firm Firm Soft Soft Soft Soft Curved Pkg Curved Pkg Soft, Curved Pkg Coudé Coudé Coudé Coudé, Olive Tip Coudé, Olive Tip Coudé, Olive Tip Coudé, Curved Pkg Red Rubber Latex* Red Rubber Latex* Red Rubber Latex* Description Firm, Luer End Firm, Luer End Description Firm Firm Firm Firm No Funnel

Quantity/Box 30 Quantity/Box 30 30 30 30 30 30 30 30 30 30 50 50 50 30 30 30 30 30 30 50 30 30 30 Quantity/Box 30 30 Quantity/Box 30 30 30 30 30

*Caution: This product contains natural rubber latex which may cause allergic reactions.

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Apogee Plus System

Bxxx 16" length Introducer Tip Pre-lubricated Ultra-Smooth Eyelets 1500 mL Collection Bag Latex-Free (exceptions noted below)

Case of 100

HCPCS: A4353

Stock No B6F B8F B10F B12F B14F B16F B18F B12C B14C B16C B12S B14S B12R B14R B16R B14F-Female Size 6 Fr 8 Fr 10 Fr 12 Fr 14 Fr 16 Fr 18 Fr 12 Fr 14 Fr 16 Fr 12 Fr 14 Fr 12 Fr 14 Fr 16 Fr 14 Fr, 6" Description Firm Firm Firm Firm Firm Firm Firm Coudé Coudé Coudé Soft Soft Red Rubber Latex* Red Rubber Latex* Red Rubber Latex* Firm

*Caution: This product contains natural rubber latex which may cause allergic reactions.

Apogee Plus System Kit

BxxxB 16" length Introducer Tip Pre-lubricated Ultra-Smooth Eyelets 1500 mL Collection Bag Kit contains gloves, underpad drape, gauze, and PVP swabsticks Latex-Free (exceptions noted below)

Case of 100

HCPCS: A4353

Stock No B6FB B8FB B10FB B12FB B14FB B16FB B18FB B12CB B14CB B16CB B12SB B14SB B12RB B14RB B16RB B14FB-Female Size 6 Fr 8 Fr 10 Fr 12 Fr 14 Fr 16 Fr 18 Fr 12 Fr 14 Fr 16 Fr 12 Fr 14 Fr 12 Fr 14 Fr 16 Fr 14 Fr, 6" Description Firm Firm Firm Firm Firm Firm Firm Coudé Coudé Coudé Soft Soft Red Rubber Latex* Red Rubber Latex* Red Rubber Latex* Firm

*Caution: This product contains natural rubber latex which may cause allergic reactions.

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Intermittent Catheters

Advance Plus Touch Free Intermittent Catheter

940xx/941xx/951xx/931xx 16" length Latex-Free Gel Reservoir Unique Protective Tip 1500 mL Collection Bag Ultra-Smooth Eyelets

Box of 100

HCPCS: A4353

Stock No 94064 94084 94104 94124 94144 94164 94184 95124 95144 95164 93104* 93124* 93144* 93164* Size 6 Fr 8 Fr 10 Fr 12 Fr 14 Fr 16 Fr 18 Fr 12 Fr 14 Fr 16 Fr 10 Fr 12 Fr 14 Fr 16 Fr Description Straight Straight Straight Straight Straight Straight Straight Coudé Coudé Coudé Straight Straight Straight Straight Length 16" 16" 16" 16" 16" 16" 16" 16" 16" 16" 16" 16" 16" 16"

*Advance Plus Pocket Intermittent Catheter

Advance Plus Touch Free Intermittent Catheter System

960xx/961xx/971xx Latex-Free Gel Reservoir Unique Protective Tip 1500 mL Collection Bag Ultra-Smooth Eyelets Kit contains gloves, underpad drape, and benzalkonium chloride swabsticks

Box of 100

HCPCS: A4353

Stock No 96064 96084 96104 96124 96144 96164 96184 97124 97144 97164 Size 6 Fr 8 Fr 10 Fr 12 Fr 14 Fr 16 Fr 18 Fr 12 Fr 14 Fr 16 Fr Description Straight Straight Straight Straight Straight Straight Straight Coudé Coudé Coudé Length 16" 16" 16" 16" 16" 16" 16" 16" 16" 16"

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Male External Catheters

InView Male External Catheters

974xx/975xx/976xx Box of 30 977xx/978xx/979xx Box of 100 Self-Adhesive Latex-Free Clear Material Enables Monitoring of Skin

HCPCS: A4349 SPECIAL: shorter length sheath

Stock No Stock No Box of 30 Box of 100 97425 97429 97432 97436 97441 97725 97729 97732 97736 97741 Color Size 25 mm 29 mm 32 mm 36 mm 41 mm

STANDARD: the daily catheter for general use

Stock No Stock No Box of 30 Box of 100 97525 97529 97532 97536 97541 97825 97829 97832 97836 97841 Color Size 25 mm 29 mm 32 mm 36 mm 41 mm

EXTRA: 70% more adhesive than Standard for added security

Stock No Stock No Box of 30 Box of 100 97625 97629 97632 97636 97641 97925 97929 97932 97936 97941 Color Size 25 mm 29 mm 32 mm 36 mm 41 mm

Extended Wear Male External Catheter

920x Self-Adhesive, Latex Unique Inner Flap Easy Applicator Collar

Box of 30

HCPCS: A4349

Stock No Box of 30 9206 9207 9208 9209 Color Size 22 mm-25 mm 26 mm-30 mm 31 mm-35 mm 36 mm-39 mm

Caution: This product contains natural rubber latex which may cause allergic reactions.

Everyday Male External Catheter

910x Self-Adhesive, Latex Easy Applicator Collar

Box of 30

HCPCS: A4349

Stock No Box of 30 9106 9107 9108 9109 Color Size 22 mm-25 mm 26 mm-30 mm 31 mm-35 mm 36 mm-39 mm

Caution: This product contains natural rubber latex which may cause allergic reactions.

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Leg Bag Systems

Urinary Leg Bag

9814/9805 Includes: (1) Urinary Leg Bag -- medium or large Latex-Free

Box of 10

HCPCS: A9270 HCPCS: A4358 (if straps are added)

Stock No 9814 9805 Description Medium -- 18 oz (540 mL) Large -- 30 oz (900 mL) Length 10" 11-1/8" Width 4-1/4" 5"

Urinary Leg Bag Combination Pack

9348/9349 Box of 12 Includes: (1) Urinary Leg Bag -- medium or large (1) Extension tubing (18" long, oval, 11/32" effective inside diameter) with connector (1) Pair fabric leg bag straps -- medium (23" long, 1-1/8" wide) Latex-Free; Contains sterile components

HCPCS: A4358

Stock No 9348 9349 Description Medium -- 18 oz (540 mL) Large -- 30 oz (900 mL) Length 10" 11-1/8" Width 4-1/4" 5"

Vented Urinary Leg Bag Combination Pack

9645/9655 Box of 10 Includes: (1) Vented Urinary Leg Bag -- medium or large (1) Kink-resistant extension tubing with vacuum relief valve, 18" long, oval, 11/32" effective inside diameter (1) Pair fabric leg bag straps -- medium (23" long, 1-1/8" wide) Latex-Free; Contains sterile components

HCPCS: A4358

Stock No 9645 9655 Description Medium -- 18 oz (540 mL) Large -- 30 oz (900 mL) Length 10" 11-1/8" Width 4-1/4" 5"

Did you know...

Hollister Leg Bags Offer Many Benefits:

· Soft, vinyl material is comfortable · Pleats provide a discreet profile · Wide, woven fabric straps are comfortable and stay in place · Easy-to-operate drain valve requires minimal dexterity · Protected buttons on the bags may decrease the risk of pressure points · Anti-reflux valve helps prevent urine back flow into the tubing

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Accessories

Fabric Leg Bag Straps

9342/9343 Latex-Free

10 Pair

HCPCS: A5114

Stock No 9342 9343 Description Small Medium Length 15" 23" Width 1-1/8" 1-1/8"

Latex-Free Extension Tubing

9345/9346 Box of 10 Latex-Free, kink-resistant extension tubing with connector, oval, 11/32" effective inside diameter

HCPCS: A4331

Stock No 9345 9346 Description Non Sterile Sterile Length 18" 18"

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Collection Systems

Bedside Drainage Collection System with Anti-Reflux Valve

9839 Latex-Free Sample port Sterile fluid pathway

Box of 20

HCPCS: A4357

Stock No 9839 Description 68 oz (2000 mL) Length 12" Width 9-3/4"

Male Urinary Pouch External Collection Device*

9873 (CUT-TO-FIT) Box of 10 Flextend Skin Barrier No Additional Tape Needed Odor-Barrier Film Tubing Adaptor Port Alternative to Indwelling Catheter for Bedridden Males Latex-Free

HCPCS: A4326

Stock No 9873 Description Male Urinary Pouch Length 7-1/2" Width 4-1/2"

9811 (CUT-TO-FIT) Box of 10 SoftFlex Skin Barrier Thinner, More Flexible Barrier Odor-Barrier Film Tubing Adaptor Port Tape Strips and Skin Gel Wipe Included Alternative to Indwelling Catheter for Bedridden Males Latex-Free

HCPCS: A4326

Stock No 9811 Description Male Urinary Pouch Length 7-1/2" Width 4-1/2"

Female Urinary Pouch External Collection Device*

9840 (CUT-TO-FIT) Box of 10 SoftFlex Skin Barrier Odor-Barrier Film Tubing Adaptor Port Alternative to Indwelling Catheter for Bedridden Females Adapt Paste, Tape Strips, and Skin Gel Wipe Included Latex-Free

HCPCS: A4328

Stock No 9840 Description Female Urinary Pouch Length 7-1/2" Width 4-1/2"

* Meant to be connected to leg bag or gravity drainage

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Glossary · Continence Care

Anti-Reflux: Refers to a tube or collapsible material within a urine collection device to help prevent urine from re-entering the tubing Applicator Collar: Found on some Hollister male external catheters; a plastic guide with notches for the thumb and forefinger to assist proper placement against the tip of the penis Bladder: A balloon-like muscular organ which lies in the pelvis and functions to store and expel urine Bladder Catheterization: A procedure in which a catheter is passed through the urethra or stoma into the bladder for the purpose of draining urine and performing diagnostic tests of bladder or urethral function Benzalkonium Chloride (BZK): An antimicrobial solution used for disinfecting the urethral opening prior to inserting an intermittent catheter. Does not stain skin or clothing. Less likely to cause sensitivity Catheter (Urinary): A rubber or vinyl hollow tube inserted through the urethra or a stoma to the bladder to withdraw urine or instill medication Closed System: Refers to a "touchless" catheter located within a urine collection bag. The enclosed catheter is manipulated through the bag, guided through the introducer tip as it is inserted into the urethra or stoma without being directly touched Closed System Kit: Closed system catheter includes the catheter located within the urine collection bag, and usually includes gloves, PVP or BZK swab sticks, and underpad drape Collection Bag: A leg bag or bedside bag designed to collect urine by gravity that is connected by tubing to an indwelling or external catheter, urinary pouch, or also to wound drainage systems Color Coded: On Hollister intermittent catheters, the funnel ends are color and size coordinated so catheters may be consistently ordered by size or funnel color Connector: A device that secures the extension tubing to the catheter or urinary pouch system Coudé Tip: A slight bend manufactured in the tip of the catheter which makes insertion past the prostate easier for some men. A notch at the funnel end is a guide for alignment during insertion External Condom Catheter: Device that is secured externally with various adhesives to the penis shaft for the purpose of urine collection. Must be connected with tubing to a urine collection bag Extension Tubing: Tubing that provides the connection between an external or indwelling catheter and a urine collection bag or leg bag. May also serve as a connection between an ostomy pouch or wound drainage collector. Made of latex or vinyl Eyelet: An oval-shaped hole in the insertion end of the catheter to facilitate drainage of urine from the bladder. Eyelets are usually two in number, and may be across from each other or offset. Smooth eyelets protect the urethra from insertion trauma

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Glossary · Continence Care

Female Urinary Pouch: A cut-to-fit, one piece, vinyl pouch with a flexible synthetic barrier which is attached externally to the female urethral/vaginal area. The pouch is usually connected to a bedside collection bag. Recommended for the more immobile female Firm Catheter: Refers to lesser pliability of a urethral catheter Flexible: Refers to greater pliability of a urethral catheter or of a skin barrier found on the external female and male urinary pouches Flextend Barrier: A skin barrier with special additives that achieve a stronger adhesive seal and are more resistant to breakdown from fluids. Skin-prepping agents are not recommended under Flextend Skin Barriers French Size: Abbreviated Fr, the measuring gauge for the outer diameter of a straight or indwelling catheter Funnel: Colored non-insertion end of an intermittent catheter allows for ease of fluid control. A catheter tipped syringe may be attached at the funnel for fluid instillation into the bladder. Color corresponds to specific French size Gel Reservoir: A small, lubricant-filled flexible device unique to Hollister built into the Advance Plus closed catheter system. The catheter is evenly lubricated as it passes through the blue gel reservoir on its way to the urethra Grip Section: A finely ribbed area on the catheter in a closed catheter system which assists with catheter control for continuous catheter advancement Hydrophilic Catheter: A catheter designed to be lubricated when moistened with water which eases friction on the urethra Incontinence: Loss of control of bowel and/or bladder Indwelling Catheter: A flexible tube that remains in the bladder continuously to drain urine. May be referred to as a Foley catheter Inner Flap: A thin, latex extra membrane inside Hollister Extended Wear latex male external catheters. The inner flap rests against the tip of the penis to prevent urine backwash and undermining of the catheter adhesive Intermittent Catheter: A flexible tube that is used to empty the bladder on a regular schedule; used for self-catheterization Introducer Plate: A nickel-size disc on the introducer tip that acts as a stop mechanism just outside the urethral opening. The plate helps to stabilize the catheter against the meatus area during insertion Introducer Tip: A specially designed system on some intermittent catheters which functions to prevent urethra bacterial contamination of the catheter. It is inserted into the urethra. The 15 mm length on the Hollister introducer tip helps decrease the risk of introducing bacteria into the urethra. The tapered tip with multiple slits is designed for comfortable insertion Latex: A material made from natural rubber. Red rubber catheters and some male external catheters are made from latex Leg Bag Straps: Hold the leg bag in place Luer End: No funnel on non insertion end. A syringe may be connected to the Luer end for bladder irrigation or insertion of medication 100

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Lubricant: A water soluble jelly applied to a catheter prior to insertion which allows for easier insertion and helps minimize urethral irritation Male External Urinary Pouch: A cut-to-fit, one-piece vinyl pouch with a synthetic adhesive backing that may be used for the very short penis, or the flush or retracted penis. Usually attached to a bedside collection bag, and is recommended more for those with limited mobility Meatus: The opening of the urethra in both men and women Neurogenic Bladder: An atonic or unstable bladder associated with a neurological condition, such as diabetes, stroke, or spinal cord injury Non Latex: A material not made from rubber; usually vinyl or silicone for catheters or plastic for collection bags. Minimizes risk of allergic reaction Olive Tip: An oval-shaped catheter tip which makes it easier for a female to find the urethral opening when catheterizing Pre-Lubricated Catheter: Refers to a catheter which is lubricated by passing through a gel reservoir, or a lubricated catheter in a closed system, or a catheter in packaging which contains a lubricant packet which is ruptured to lubricate the catheter prior to opening the packaging PVP: Povidone iodine solution used as an antimicrobial disinfectant applied to the urethral opening prior to catheter insertion. May stain clothing Ring Cap: Cap on the introducer tip protects the catheter tip. Ring assists with cap removal especially for those with limited dexterity. Oval cap design prevents roll away Sizing Guide: Used for external catheters, these semicircular cutouts help determine the diameter of the penis in order to guide selection for correct fit Soft Catheter: A gentle, flexible catheter with limited firmness SoftFlex Barrier: A flexible synthetic material that will conform to rounded and some irregular surfaces. Gentle enough to be removed in 24 hours or less Straight Tip: Refers to the tapered, rounded insertion end of a catheter Urine Crystallization: Crystals of salts and minerals may form in alkaline urine. Alkaline urine may also allow bacteria to grow in the bladder which may result in a urinary tract infection (UTI). Adequate fluid intake will keep urine acidic which will help prevent crystal formation and possible UTI (Citric juices and fruits turn alkaline in the stomach) Urethra: The natural tube through which urine exits the bladder Vacuum Relief Valve: A feature on the leg bag tubing that helps prevent collapse of the tubing, as well as collapse of an external urinary pouch or catheter Vented Leg Bag: A special vacuum relief mechanism featured on the oval kink-resistant tubing and the companion pouch which also features an air vent. These combined features help to minimize a vacuum in the leg bag as well as in the tubing. A vacuum is created as the urine cools outside the body. The vacuum will stall urine drainage through the tubing and/or prevent the leg bag from emptying completely

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Bowel Care

Bowel Care

Hollister Bowel Care

Dedicated to excellence.

Proactive Dependable Versatile

Hollister Bowel Care is committed to working in partnership with healthcare facilities, and to putting the empowerment of choice in their hands in order to help optimize patient care and reduce the overall costs related to incidents of fecal incontinence. Sharing experiences builds knowledge which is the foundation of the Hollister Bowel Care dedication to excellence.

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Table of Contents · Bowel Care

General Information..........................................................................107 Bowel Catheter Systems ..................................................................108 ActiFlo Indwelling Bowel Catheter System......................................108 InstaFlo Bowel Catheter System ....................................................108 Bowel Care Accessories ...................................................................109 Fecal Collectors................................................................................110

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General Information

HCPCS Codes Disclaimer

The reimbursement information provided herein is intended to provide general information concerning coding of Hollister products only. Hollister does not guarantee coverage or payment for any products. The ultimate responsibility for proper coding, satisfying reimbursement requirements, and obtaining reimbursement remains with the provider. Coding and coverage policies and guidelines are complex, can vary from one carrier or region to another, and are updated frequently. Providers should check with their local carriers or intermediaries often and should consult with counsel, a reimbursement specialist, and/or the DMECS website for any coding, coverage, reimbursement, or billing questions. HCPCS codes shown in this Product Catalog are current as of 1-6-12.

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Bowel Catheter Systems

ActiFlo Indwelling Bowel Catheter System with Disposable Odor-Barrier Collection Bags

Catheter Kit Includes: Catheter (1) 2000 mL Disposable Odor-Barrier Collection Bags (2) Hydrocolloid Skin Barriers (2) Lubricating Jelly Packets (2) Syringe (1) 1000 mL Irrigation Bag (1) Instruction Booklet (1) Latex-Free Non Sterile

Stock No 32006 32007

Low-Impact Zone 4 cm 6 cm

Kits/Box 1 1

ActiFlo Indwelling Bowel Catheter System with Drainable Odor-Barrier Collection Bag

Catheter Kit includes: Catheter (1) 3000 mL Drainable Odor-Barrier Collection Bag (1) Hydrocolloid Skin Barriers (2) Lubricating Jelly Packets (2) Syringe (1) 1000 mL Irrigation Bag (1) Instruction Booklet (1) Latex-Free Non Sterile

Stock No 32004 32005

Low-Impact Zone 4 cm 6 cm

Kits/Box 1 1

InstaFlo Bowel Catheter System

Catheter Kit includes: Catheter (1) 2000 mL Disposable Odor-Barrier Collection Bag (1) Syringe (1) Instruction Booklet (1) Quick Reference Insertion Guide (1) Latex-Free Non Sterile

Stock No 33004

Description Catheter Kit

Kits/Box 1

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Bowel Care Accessories

2000 mL Disposable Odor-Barrier Collection Bag Latex-Free Single-Use

Stock No 31008

Description 2000 mL Collection Bag

Quantity/Box 5

2500 mL Disposable Odor-Barrier Collection Bag with Filter Activated Carbon Filter Latex-Free Single-Use

Description 2500 mL Collection Bag with Filter Quantity/Box 5

Stock No 31009

3000 mL Drainable Odor-Barrier Collection Bag* Latex-Free

Stock No 31003

Description 3000 mL Collection Bag

Quantity/Box 5

1000 mL Irrigation Bag* Latex-Free

Stock No 31005

Description 1000 mL Irrigation Bag

Quantity/Box 30

* For use with the ActiFlo Indwelling Catheter System only.

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Fecal Collectors

Fecal Collectors

9880 Box of 10 Cut-to-Fit Flextend (extended wear) Tapered Skin Barrier Odor-Barrier Pouch Film Convenience Drain

HCPCS: A4330

Stock No 9880 Description Large Pouch Length 12" (30 cm)

9823 Box of 10 Cut-to-Fit Flextend (extended wear) Tapered Skin Barrier Ultra-Clear Pouch Film Convenience Drain

HCPCS: A4330

Stock No 9823 Description Medium Pouch Length 10" (25 cm)

9822/9821 Box of 10 Cut-to-Fit SoftFlex (standard wear) Skin Barrier Odor-Barrier Pouch Film Thermometer Port Convenience Drain

HCPCS: A4330

Stock No 9822 9821 Description Medium Large Pouch Length 10" (25 cm) 12" (30 cm)

Did you know...

To view video instructions for product application, visit www.hollister.com

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Tube Fasteners

Tube Fasteners

Anchor Fast

Oral Endotracheal Tube Fastener

Secure. Clean. Practical.

ET tube wrap with non-slip grippers

One-click security clamp

Gliding tube shuttle

Nonabsorbent upper lip stabilizer

The right choice.

The Anchor Fast Oral Endotracheal Tube Fastener combines a number of unique features that make it the right choice. Together, these features help to prevent the formation of lip ulcers and ease access to the oral cavity to optimize patient oral care.

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Table of Contents · Tube Fasteners

Tube Fasteners ....................................................................... 115­116 Anchor Fast Oral Endotracheal Tube Fastener ...............................115 Horizontal Tube Attachment Device (HTAD): Sterile .........................115 Vertical Tube Attachment Device (VTAD): Sterile .............................115 Drain Tube Attachment Device (DTAD): Sterile ................................116 Feeding Tube Attachment Device (FTAD) ........................................116 Suction Tube Attachment Device (STAD) ........................................116

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Tube Fasteners

Anchor Fast Oral Endotracheal Tube Fastener

9799/9788 Secures Oral Endotracheal Tubes (5 mm-10 mm) Optimizes Oral Care Helps Safeguard Skin Health Individually Packaged Latex-Free

Stock No 9799 9788

HCPCS A9900* / A9999** --

Description Anchor Fast Oral Endotracheal Tube Fastener Replacement Neck Band Straps

Quantity/Box 12 4

*to be used with a rented ventilator **to be used with a patient-owned ventilator

Horizontal Tube Attachment Device (HTAD): Sterile

9781 Secures Drains, Tubes, or Catheters (5 Fr-40 Fr) Parallel to Patient's Skin Tubes Can be Secured at Exit Site, or Distal to Exit Site Helps Safeguard Skin Health Sterile, Latex-Free

Stock No 9781

HCPCS A5200

Description Horizontal Tube Attachment Device (HTAD): Sterile

Quantity/Box 5

Vertical Tube Attachment Device (VTAD): Sterile

9782 Secures Drains, Tubes, or Catheters (5 Fr-40 Fr) Vertical to Patient's Skin Secures Tube at Exit Site Helps Safeguard Skin Health Sterile, Latex-Free

Stock No 9782

HCPCS A5200

Description Vertical Tube Attachment Device (VTAD): Sterile

Quantity/Box 5

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Tube Fasteners

Drain Tube Attachment Device (DTAD): Sterile

9780 Secures a Variety of Drains or Tubes (10 Fr-24 Fr) Vertical to Patient's Skin Sterile, Latex-Free

Stock No 9780

HCPCS A5200

Description Drain Tube Attachment Device (DTAD): Sterile

Quantity/Box 5

Feeding Tube Attachment Device (FTAD)

9786 Secures Nasogastric/Nasointestinal Tubes (5 Fr-18 Fr) Butterfly-Shaped FlexWear Skin Barrier Conforms to Patient's Nose Unique Swivel Clamp Eliminates Pressure on the Nares Latex-Free

Stock No 9786

HCPCS B9998

Description Feeding Tube Attachment Device (FTAD)

Quantity/Box 20

Suction Tube Attachment Device (STAD)

9785 Secures Nasogastric Tubes (12 Fr-18 Fr) Butterfly-Shaped FlexWear Skin Barrier Conforms to Patient's Nose Unique Swivel Clamp Eliminates Pressure on the Nares Latex-Free

Stock No 9785

HCPCS A9999

Description Suction Tube Attachment Device (STAD)

Quantity/Box 20

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Hollister Wound Care

Hollister Wound Care

Antimicrobial dressings vs. enzymatic debriders: Now you don't have to choose.

Hydrofera Blue antimicrobial dressings are highly absorbent and -- unlike many other antimicrobial dressings -- do not decrease the activity or effectiveness of enzymatic debriders or growth factors.1, 2 This allows you to manage wound exudate and bioburden simultaneously with these therapies.

The Choice is Clear: Hydrofera Blue ­ When Managing BioBurden is a Priority.

Exclusively Distributed by:

www.hollisterwoundcare.com

1 2

Data on file at Hyrofera, LLC Ramsey et al., Comparison of the Effects of Antimicrobial Wound Dressing on Cell Viability, Proliferation, and Growth Factor Activity, SAWC 2008

Caution: Federal law restricts this device for sale or on the order of a physician or licensed healthcare professional Hydrofera Blue dressings are not indicated for third-degree burns and are not for use as an implant. If the dressing dries out, thoroughly moisten it with sterile saline or sterile water before removal. Regular evaluation and cleansing of wounds should be a common practice.

Hollisterwoundcare is a trademark of Hollister Incorporated. Hydrofera Blue is a trademark of Hydrofera, LLC. ©2011 Hollister Wound Care.

Table of Contents · Wound Care

General Information..........................................................................121 HCPCS Codes Disclaimer ...............................................................121 Explanation of Third Party Code Reimbursement System.................121 (National Health Related Items Code) Medicare Utilization Chart ....................................................... 122­128 Hydrofera Blue Foam Dressings .....................................................129 Restore Wound Dressings with TRIACT Technology ............... 130­132 Restore Contact Layer FLEX Dressing ...........................................130 Restore Contact Layer Dressing ....................................................130 Restore Contact Layer Dressing, Silver ..........................................130 Restore Adhesive Foam Dressing ..................................................131 Restore Non-Adhesive Foam Dressing ...........................................131 Restore Non-Adhesive Foam Dressing, Silver ................................131 Restore DUO Absorbent Dressing..................................................131 Restore TRIO Absorbent Dressing, Adhesive .................................132 Restore Wound Dressings with TRIACT ADVANCED Technology .....133 Restore Foam Dressing without Border .........................................133 Restore Foam Border Dressing .....................................................133 Restore Heel Dressing without Border........................................133 Restore LITE Foam Dressing without Border ..................................133 Restore Hydro-Shield Foam Dressings ............................................134 Restore Hydro-Shield Foam Dressing without Border .....................134 Restore Hydro-Shield Foam Dressing ............................................134 Restore Wound Dressings ...................................................... 135­136 Restore Calcium Alginate Dressing................................................135 Restore Calcium Alginate Dressing, Silver .....................................135 Restore Hydrogel Dressing ............................................................135 Restore Hydrocolloid Dressing .......................................................136 Restore Extra Thin Hydrocolloid Dressing.......................................136 Restore Hydrocolloid Dressing with Foam Backing .........................136 Restore Odor-Absorbent Dressing .................................................136 Restore Wound Cleanser .................................................................137 Restore Wound Cleanser ..............................................................137 ConnectEd Learning Management System .....................................137 Skin Care .........................................................................................138 Restore Skin Cleanser ..................................................................138 Restore Cleanser & Moisturizer .....................................................138 Restore DimethiCreme Skin Protectant ..........................................138 Restore Skin Conditioning Creme ..................................................138 Glossary · Wound Care .......................................................... 139­142

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General Information

HCPCS Codes Disclaimer

The reimbursement information provided herein is intended to provide general information concerning coding of Hollister products only. Hollister does not guarantee coverage or payment for any products. The ultimate responsibility for proper coding, satisfying reimbursement requirements, and obtaining reimbursement remains with the provider. Coding and coverage policies and guidelines are complex, can vary from one carrier or region to another, and are updated frequently. Providers should check with their local carriers or intermediaries often and should consult with counsel, a reimbursement specialist, and/or the DMECS website for any coding, coverage, reimbursement, or billing questions. HCPCS codes shown in this Product Catalog are current as of 1-6-12.

Explanation of Third Party Code Reimbursement System (National Health Related Items Code)

To facilitate reimbursement of Hollister Wound Care products, some Third Party Payment Programs require the use of an eleven-digit reimbursement number. Every Hollister Wound Care manufactured product can be identified by an eleven-digit number. The first five numbers identify the manufacturer's labeler code and the last six numbers represent the product stock number. The labeler code for Hollister Wound Care LLC is 08567. In order to utilize this coding system, simply combine the five digit labeler code with a product's six-digit stock number. You can follow this example. To code a six-digit stock number: The Third Party Reimbursement Number for Restore Contact Layer Silver Dressing with TRIACT Technology, Stock Number 509341, listed in the catalog on page 130 is: 08567-5093-41 08567 identifies Hollister Wound Care LLC, and 5093-41 identifies the product Stock Number. Additionally, three products in the Hollister Wound Care line require an NDC number due to their Dimethicone-based nature. The labeler code for Hollister Wound Care LLC's OTC drug products is 42828. The three NDC numbers are listed below. NDC 42828-9977-02 42828-9978-03 42828-9979-01 Stock No. 529977 529978 529979 Description Restore Cleanser & Moisturizer, 7.5 oz Restore Cleanser & Moisturizer, 11.5 oz Restore Dimethicreme Skin Protectant, 4 oz

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Medicare Utilization Chart

Medicare Usual Dressing Change Frequency for Wound Care Supplies

The quantity and type of dressings dispensed at any one time must take into account the current status of the wound(s), the likelihood of change, and the recent use of dressings. Dressing needs may change frequently (e.g., weekly) in the early phases of wound treatment and/or with heavily draining wounds. Surgical dressings must be tailored to the specific needs of an individual patient. The table below lists some coverage guidelines and usual dressing change frequencies. The medical necessity for more frequent dressing changes must be documented in the patient's medical record and submitted with the claim. Per LCD for Surgical Dressings (L11471), NHIC effective Feb. 4, 2011.

Frequency of Change Wound Condition

HCPCS Long Description A4450 A4452 A4461 A4463 A4465 A4490 A4495 A4500 A4510 A4649 A6010 A6011 A6021 A6022 A6023 A6024 A6025 A6154 A6196 A6197

A6198

Tape, non-waterproof, based on per 18 square inches drsg size Tape, waterproof, per based on 18 square inches drsg size Surgical dressing holder, non-reusable, each Surgical dressing holder, reusable, each Non-elastic binder for extremity Surgical stockings above knee length, each Surgical stockings thigh length, each Surgical stockings below knee length, each Surgical stockings full length, each Surgical supply; miscellaneous Collagen-based wound filler, dry form, sterile, per gram of collagen Collagen-based wound filler, gel/paste, per gram of collagen Collagen dressing, sterile, pad size 16 sq in or less, each Collagen dressing, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, each Collagen dressing, sterile, pad size more than 48 sq in, each Collagen dressing wound filler, per 6 inches Gel Sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each Wound pouch, each 3/wk Alginate or other fiber gelling dressing, 1/day mod-high exudate wound cover, sterile, pad size 16 sq in or less, each dressing Alginate or other fiber gelling dressing, 1/day mod-high exudate wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, each dressing Alginate or other fiber gelling dressing, 1/day mod-high exudate wound cover, sterile, pad size more than 48 sq in, each dressing

No

established usual maximum, refer to Medicare Utilization Guidelines.

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HCPCS Long Description A6199 A6203 A6204

Frequency of Change

Wound Condition

A6205 A6206 A6207 A6208 A6209 A6210

A6211 A6212 A6213

A6214 A6215 A6216 A6217

A6218 A6219 A6220

A6221

Alginate or other fiber gelling dressing, 2 units mod-high exudate wound filler, sterile, per 6 inches (12 in)/day Composite dressing, sterile, pad size 3/wk 16 sq in or less, with any size adhesive border, each dressing Composite dressing, sterile, pad size 3/wk more than 16 sq in but less than or equal to 48 sq in, with any size adhesive border, each dressing Composite dressing, sterile, pad size more 3/wk than 48 sq in, with any size adhesive border, each dressing Contact layer, sterile, 16 sq in or less, 1/wk line the wound each dressing Contact layer, sterile, more than 16 sq in but 1/wk line the wound less than or equal to 48 sq in, each dressing Contact layer, sterile, more than 48 sq in, 1/wk line the wound each dressing Foam dressing, wound cover, sterile, 3/wk mod-heavy pad size 16 sq in or less, without adhesive exudate border, each dressing Foam dressing, wound cover, sterile, 3/wk mod-heavy pad size more than 16 sq in but less than exudate or equal to 48 sq in, without adhesive border, each dressing Foam dressing, wound cover, sterile, 3/wk mod-heavy pad size more than 48 sq in, without exudate adhesive border, each dressing Foam dressing, wound cover, sterile, 3/wk mod-heavy pad size 16 sq in or less, with any size exudate adhesive border, each dressing Foam dressing, wound cover, sterile, 3/wk mod-heavy pad size more than 16 sq in but less than exudate or equal to 48 sq in, with any size adhesive border, each dressing Foam dressing, wound cover, sterile, 3/wk mod-heavy pad size more than 48 sq in, with any exudate size adhesive border, each dressing Foam dressing, wound filler, sterile, per gram 1/day mod-heavy exudate Gauze, non-impregnated, non sterile, 3/day pad size 16 sq in or less, without adhesive border, each dressing Gauze, non-impregnated, non sterile, 3/day pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing Gauze, non-impregnated, non sterile, 3/day pad size more than 48 sq in, without adhesive border, each dressing Gauze, non-impregnated, sterile, 1/day pad size 16 sq in or less, with any size adhesive border, each dressing Gauze, non-impregnated, sterile, 1/day pad size more than 16 sq in but less than or equal to 48 sq in, with any size adhesive border, each dressing Gauze, non-impregnated, sterile, 1/day pad size more than 48 sq in, with any size adhesive border, each dressing

No

established usual maximum, refer to Medicare Utilization Guidelines.

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Medicare Utilization Chart

HCPCS Long Description A6222 Frequency of Change 1/day Wound Condition

A6223

A6224

A6228 A6229

A6230 A6231 A6232

A6233 A6234 A6235

A6236 A6237 A6238

A6239 A6240 A6241

No

Gauze, impregnated with other than water, normal saline, or hydrogel, sterile pad size 16 sq in or less, without adhesive border, each dressing Gauze, impregnated with other than water, normal saline, or hydrogel, sterile pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing Gauze, impregnated with other than water, normal saline, or hydrogel, sterile pad size more than 48 sq in, without adhesive border, each dressing Gauze, impregnated with water or normal saline, sterile, pad size 16 sq in or less, without adhesive border, each dressing Gauze, impregnated with water or normal saline, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing Gauze, impregnated with water or normal saline, sterile, pad size more than 48 sq in, without adhesive border, each dressing Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq in or less, each dressing Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, each dressing Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq in, each dressing Hydrocolloid dressing, wound cover, sterile, pad size 16 sq in or less, without adhesive border, each dressing Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq in, without adhesive border, each dressing Hydrocolloid dressing, wound cover, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, with any size adhesive border, each dressing Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing Hydrocolloid dressing, wound filler, paste, sterile, per ounce Hydrocolloid dressing, wound filler, dry form, sterile, per gram

1/day

1/day

1/day 1/day

min-no exudate min-no exudate

1/day 3/wk 3/wk

min-no exudate light-mod exudate light-mod exudate

3/wk 3/wk 3/wk

light-mod exudate light-mod exudate light-mod exudate

3/wk 3/wk 3/wk

light-mod exudate light-mod exudate light-mod exudate

established usual maximum, refer to Medicare Utilization Guidelines.

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HCPCS Long Description A6242 A6243

Frequency of Change

Wound Condition

A6244 A6245 A6246

A6247 A6248 A6250 A6251 A6252

A6253 A6254 A6255

A6256

A6257 A6258 A6259 A6260 A6261 A6262

No

Hydrogel dressing, wound cover, sterile, 1/day min-no exudate pad size 16 sq in or less, without adhesive border, each dressing Hydrogel dressing, wound cover, sterile, 1/day min-no exudate pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing Hydrogel dressing, wound cover, sterile, 1/day min-no exudate pad size more than 48 sq in, without adhesive border, each dressing Hydrogel dressing, wound cover, sterile, 3/wk min-no exudate pad size 16 sq in or less, with any size adhesive border, each dressing Hydrogel dressing, wound cover, sterile, 3/wk min-no exudate pad size more than 16 sq in but less than or equal to 48 sq in, with any size adhesive border, each dressing Hydrogel dressing, wound cover, sterile, 3/wk min-no exudate pad size more than 48 sq in, with any size adhesive border, each dressing Hydrogel dressing, wound filler, 1/day up to min-no exudate gel, per fluid ounce 3 oz/mo Skin sealants, protectants, moisturizers, ointments, any type, any size Specialty absorptive dressing, wound 1/day mod-high exudate cover, sterile, pad size 16 sq in or less without adhesive border, each dressing Specialty absorptive dressing, wound 1/day mod-high exudate cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing Specialty absorptive dressing, wound 1/day mod-high exudate cover, sterile, more than 48 sq in, without adhesive border, each dressing Specialty absorptive dressing, wound every other mod-high cover, sterile, pad size 16 sq in or less day exudate with any size adhesive border, each dressing Specialty absorptive dressing, wound every other mod-high cover, sterile, pad size more than 16 sq in day exudate but less than or equal to 48 sq in, with any size adhesive border, each dressing Specialty absorptive dressing, every other mod-high wound cover, sterile, more than 48 sq in, day exudate with any size adhesive border, each dressing Transparent film, sterile, 16 sq in or less, 3/wk min exudate each dressing Transparent film, sterile, more than 3/wk min exudate 16 sq in but less than or equal to 48 sq in, each dressing Transparent film, sterile, more than 3/wk min exudate 48 sq in, each dressing Wound cleanser, any type, any size Wound filler, gel/paste, per fluid ounce, 1/day not otherwise classified Wound filler, dry form, per gram, 1/day not otherwise classified

established usual maximum, refer to Medicare Utilization Guidelines.

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Medicare Utilization Chart

HCPCS Long Description A6266 A6402 A6403 Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard Gauze, non-impregnated, sterile, pad size 16 sq in or less, without adhesive border, each dressing Gauze, non-impregnated, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing Gauze, non-impregnated, sterile, pad size more than 48 sq in, without adhesive border, each dressing Packing strips, non-impregnated, sterile up to 2 inches in. width, per linear yard Eye pad, sterile, each Eye pad, non sterile, each Eye patch, occlusive, each Adhesive bandage, first-aid type, any size each Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard Conforming bandage, non-elastic, knitted/woven, non sterile, width less than three inches, per yard Conforming bandage, non-elastic, knitted/woven, non sterile, width greater than or equal to three inches and less than five inches, per yard Conforming bandage, non-elastic, knitted/woven, non sterile, width greater than or equal to five inches, per yard Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to five inches, per yard Light compression bandage, elastic, knitted/woven, width less than three inches, per yard Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard Frequency of Change 1/day 3/day 3/day Wound Condition

A6404 A6407 A6410 A6411 A6412 A6413 A6441

3/day 3/day

same as ds chg freq same as ds chg freq same as ds chg freq same as ds chg freq same as ds chg freq same as ds chg freq same as ds chg freq 1/wk 1/wk

A6442 A6443

A6444

A6445 A6446

A6447 A6448 A6449

A6450

1/wk

No

established usual maximum, refer to Medicare Utilization Guidelines.

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HCPCS Long Description A6451

Frequency of Change 1/wk

Wound Condition

A6452

A6453 A6454

A6455 A6456

A6457 A6501 A6502 A6503 A6504 A6505 A6506 A6507 A6508 A6509 A6510 A6511 A6512 A6513

No

Moderate-compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard High-compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard Zinc paste-impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard Tubular dressing with or without elastic, any width, per linear yard Compression burn garment, bodysuit (head to foot), customer fabricated Compression burn garment, chin strap, customer fabricated Compression burn garment, facial hood, custom fabricated Compression burn garment, glove to wrist, custom fabricated Compression burn garment, glove to elbow, custom fabricated Compression burn garment, glove to axilla, custom fabricated Compression burn garment, foot to knee length, custom fabricated Compression burn garment, foot to thigh length, custom fabricated Compression burn garment, upper trunk to waist including arm openings (vest), custom fabricated Compression burn garment, trunk, including arms down to leg openings (leotard), custom fabricated Compression burn garment, lower trunk including leg openings (panty), custom fabricated Compression burn garment, not otherwise classified Compression burn mask, face and/or neck, plastic or equal, custom fabricated

1/wk

1/wk 1/wk

1/wk 1/wk

established usual maximum, refer to Medicare Utilization Guidelines.

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Medicare Utilization Chart

HCPCS Long Description A6530 A6531 A6532 A6533 A6534 A6535 A6536 A6537 A6538 A6539 A6540 A6541 A6544 A6545 A6549 A9720

No

Frequency of Change

Wound Condition open venous ulcer open venous ulcer open venous ulcer open venous ulcer open venous ulcer open venous ulcer open venous ulcer open venous ulcer open venous ulcer open venous ulcer open venous ulcer open venous ulcer open venous ulcer open venous ulcer open venous ulcer

Gradient compression stocking, below knee,18-30 mm HG, each Gradient compression stocking, below knee, 30-40 mm HG, each Gradient compression stocking, below knee, 40-50 mm HG, each Gradient compression stocking, thigh length,18-30 mm HG, each Gradient compression stocking, thigh length, 30-40 mm HG, each Gradient compression stocking, thigh length, 40-50 mm HG, each Gradient compression stocking, full length/chap style,18-30 mm HG, each Gradient compression stocking, full length/chap style, 30-40 mm HG, each Gradient compression stocking, full length/chap style, 40-50 mm HG, each Gradient compression stocking, waist length,18-30 mm HG, each Gradient compression stocking, waist length, 30-40 mm HG, each Gradient compression stocking, waist length, 40-50 mm HG, each Gradient compression stocking, garter belt Gradient compression wrap, non-elastic, 1/6 mo below knee, 30-50 mm HG, each Gradient compression stocking/sleeve, not otherwise specified Non-covered item or service

established usual maximum, refer to Medicare Utilization Guidelines.

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Hydrofera Blue Foam Dressings

exclusively from

NoW AvAilAblE

Hollister Wound Care

Highly absorptive bacteriostatic foam dressing Broad spectrum activity against microorganisms commonly found in wounds, including MRSA and VRE Compatible for use with enzymatic debriders Does not harm growth factors

Description 2" x 2" 4" x 4" 6" x 6" 9 mm Tunneling Dressing Quantity/Box 10 10 10 10 pair

Standard Dressings: Stock No HCPCS HB2214 A6209 HB4414 A6209 HB6614 A6210 HBT0906 A6215 Heavy Drainage Dressings Stock No HCPCS HBHD4450 A6209 HBHD6675 A6210

Description 4" x 4" x 1/2" thick 6" x 6" x 3/4" thick

Quantity/Box 5 5

Dressings with Moisture-Retentive Film Backing Stock No HCPCS Description HBRF4414 A6209 4" x 4" HBRF2258 A6209 2-1/4" x 8" HBRF4475 A6212 4" x 4-3/4" Island Dressing (pad size 2" x 2-3/4") HBRF2650 A6209 2-1/2" diameter Ostomy Dressing

Quantity/Box 10 10 10 10

Caution: Federal (USA) law restricts this device to sale by or on the order of a physician or licensed healthcare professional.

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Restore Wound Dressings with TRIACT Technology

TRIACT Technology is an innovative formulation in select Restore wound dressings. The unique composition of TRIACT Technology provides a moist wound interface and allows virtually pain-free removal. It also reduces trauma to delicate tissue upon removal. Dressings with TRIACT Technology are designated with this symbol on the packaging.

Restore Contact Layer FLEX Dressing with TRIACT Technology: Sterile

NEW!

Flexible ­ Comfortable for patient during application and while in place Highly Conformable ­ Can be shaped to fit contours of deep or irregular wounds, and in difficult anatomical locations Non-Adherent ­ Virtually pain-free dressing removal for enhanced patient comfort Maintains a Moist Wound Interface ­ Forms a gel in the presence of exudate Minimizes Trauma to the Wound Bed ­ The dressing's gentle tack helps keep it in place over the wound Versatile ­ Can be used on a wide variety of wound types, and in conjunction with NPWT

Description 2" x 2" 4" x 5" 6" x 8" Quantity/Box 10 10 10

Stock No 506487 506488 506489

HCPCS A6206 A6207 A6207

Restore Contact Layer Dressing with TRIACT Technology: Sterile

Non-Adhesive, Non-Occlusive Wound Contact Dressing Indicated For Low to Moderate Exuding Partial- and Full-Thickness Wounds Ideal to Use on Wounds with Fragile Surrounding Skin Apply Directly to the Wound and Cover with a Secondary Dressing

Description 2" x 2" 4" x 5" 6" x 8" 8" x 12" Quantity/Box 10 10 10 10

Stock No 509378 509338 509339 509379

HCPCS A6206 A6207 A6207 A6208

Restore Contact Layer Dressing with Silver and TRIACT Technology: Sterile

Non-Adhesive, Non-Occlusive Antimicrobial Wound Contact Dressing May Help to Reduce Infection in Low to Moderately Exuding Partial- and Full-Thickness Wounds Shown to be Effective Against Bacteria Most Frequently Associated with Wound Infections Apply Directly to the Wound and Cover with a Secondary Dressing Contains Silver Sulfate

Description 4" x 5" 6" x 8" Quantity/Box 10 10

Stock No 509341 509342

HCPCS A6207 A6207

Caution: Federal (USA) law restricts this device to sale by or on the order of a physician or licensed healthcare professional.

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Restore Adhesive Foam Dressing with TRIACT Technology: Sterile

Semi-Permeable, Absorbent Dressing with Adhesive Border Manages Moderate to Heavily Exuding Chronic and Acute Wounds Super-Absorbent Foam Pad Ensures Drainage of Exudates and Helps Protect the Skin Around the Lesion from Maceration Soft, Semi-Permeable Backing

Stock No 509347 509348 509349

HCPCS A6212 A6212 A6213

Description 4" x 4" (1.5" x 1.5" Foam Pad) 6" x 6" (4" x 4" Foam Pad) 6" x 8" (3.5" x 5.5" Foam Pad)

Quantity/Box 10 10 10

Restore Non-Adhesive Foam Dressing with TRIACT Technology: Sterile

Non-Adhesive Absorbent Dressing Indicated for the Treatment of All Types of Moderate to Heavily Exuding Chronic and Acute Wounds Super-Absorbent Foam Pad Ensures Drainage of Exudates and Helps Protect the Skin Around the Lesion from Maceration Soft, Semi-Permeable Backing

Description 4" x 4" 6" x 8" Quantity/Box 10 10

Stock No 509343 509344

HCPCS A6209 A6210

Restore Non-Adhesive Foam Dressing with Silver and TRIACT Technology: Sterile*

Non-Adhesive, Non-Occlusive Antimicrobial Absorbent Dressing May Help to Reduce Infection in Moderately to High Exuding Partial- and Full-Thickness Wounds Super-Absorbent Foam Pad Ensures Drainage of Exudates and Helps Protect the Skin Around the Lesion from Maceration Soft, Semi-Permeable Backing Contains Silver Sulfate

Description 4" x 4" 6" x 8" Quantity/Box 10 10

Stock No 509345 509346

HCPCS A6209 A6210

Caution: Federal (USA) law restricts this device to sale by or on the order of a physician or licensed healthcare professional.

Restore DUO Absorbent Dressing with TRIACT Technology: Sterile

Absorbent, Non-Adhesive Dressing that Incorporates TRIACT Non-Adherent Layer Flexible, Comfortable, and Conformable for Versatile Use Indicated for Low Exuding Acute and Chronic Wounds Including Skin Tears Apply Directly to the Wound and Cover with Secondary Dressing

Description 2" x 4" 4" x 5" 6" x 8" Quantity/Box 10 10 10

Stock No 509375 509376 509377

HCPCS A6234 A6235 A6235

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131

Restore Wound Dressings with TRIACT Technology

Restore TRIO Absorbent Dressing, Adhesive, with TRIACT Technology: Sterile

All-in-one Absorbent Dressing with Adhesive Border that Incorporates TRIACT Non-Adherent Layer Flexible, Comfortable, and Conformable for Versatile Use Indicated for Low Exuding Acute and Chronic Wounds Including Dermabrasions and Minor Cuts and Burns Apply Directly to The Wound -- No Need for a Secondary Dressing

Description 3" x 3" with pad size 1.8" x 1.8" 4" x 5" with pad size 2.3" x 3.2" 6" x 8" with pad size 3.4" x 6" Quantity/Box 10 10 10

Stock No 509372 509373 509374

HCPCS A6237 A6237 A6238

Did you know...

A Quick Guide to Restore Silver Packaging

Restore Contact Layer and Foam Dressings with Silver have two-sided foil packaging. All other Restore products with TRIACT Technology have one clear side and one foil side.

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Restore Wound Dressings with TRIACT ADVANCED Technology

Hollister Wound Care features a line of foam dressings featuring TRIACT ADVANCED Technology. These products offer all the advantages of TRIACT Technology -- including virtually pain-free removal and maintaining a moist wound interface -- with these additional benefits: Stays in Place Due to Micro-Adherent Technology Facilitating Easier Application and Reduced Risk of Maceration Excellent Conformability Available in Several Types of Dressings

Restore Foam Dressing without Border Featuring TRIACT ADVANCED Technology

Non-Adhesive Absorbent Dressing Manages Moderate to Moderately Heavily Exuding Acute and Chronic Wounds

Stock No 509380 509381 509382

HCPCS A6209 A6209 A6210

Description 2.5" x 2.5" 4" x 4" 6" x 6"

Quantity/Box 10 10 10

509384

A6210

Heel 4.7" x 7.5"

10

Restore Foam Border Dressing Featuring TRIACT ADVANCED Technology

Absorbent Dressing with Adhesive Border Manages Moderate to Moderately Heavily Exuding Acute and Chronic Wounds

Stock No 509387 509388 509389 509390

HCPCS A6212 A6212 A6213 A6213

Description 4" x 4" with pad size 2" x 2" 6" x 6" with pad size 4" x 4" 6" x 8" with pad size 3.3" x 5.8" 8" x 8" with pad size 5" x 5"

Quantity/Box 10 10 10 10

Restore LITE Foam Dressing without Border Featuring TRIACT ADVANCED Technology

Non-Adhesive Absorbent Dressing is Thinner Than the Standard Foam Dressings Manages Moderate to Light to Moderately Exuding Acute and Chronic Wounds

Description 2.5" x 2.5" 4" x 5" 6" x 6" 6" x 8" Quantity/Box 10 10 10 10

Stock No 509393 509394 509395 509396

HCPCS A6209 A6210 A6210 A6210

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Restore Hydro-Shield Foam Dressings

Restore Hydro-Shield Foam Dressing without Border

Waterproof and Bacterial Barrier Protection Excellent Absorption and Retention

Stock No 529300 529301 529302 529303

HCPCS A6209 A6209 A6210 A6211

Description 3" x 3" 4" x 4" 6" x 6" 8" x 8"

Quantity/Box 10 10 10 10

Restore Hydro-Shield Foam Dressing with Border

Waterproof and Bacterial Barrier Protection Excellent Absorption and Retention

Description 4" x 4" with pad size 2" x 2" 6" x 6" with pad size 4.5" x 4.5" 8" x 8" with pad size 5.4" x 5.4" Quantity/Box 10 10 10

Stock No 529304 529305 529306

HCPCS A6212 A6213 A6213

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Restore Wound Dressings

Restore Calcium Alginate Dressing: Sterile

Highly Absorptive Made From Calcium Sodium Alginate, Creating Conformable Protective Gel When in Contact with Exudate Forms Moist Wound Interface Remains Intact When Saturated so it is Removed in One Piece

Description 2" x 2" 4" x 4" 4" x 8" 12" Rope Quantity/Box 10 10 5 5

Stock No 529938 529937 529939 529940

HCPCS A6196 A6196 A6197 A6199

Restore Calcium Alginate Dressing Silver: Sterile

Releases Silver Ions in the Presence of Wound Exudate Effective Antimicrobial Agent Against a Broad Spectrum of Microorganisms Indicated for Moderate to Heavily Exuding Partial- to Full-Thickness Wounds Assists in Maintaining a Moist Environment and Allows Intact Removal Contains Silver Sodium Hydrogen Zirconium Phosphate

Description 2" x 2" 4" x 4.75" 1" x 12" Rope Quantity/Box 10 10 5

Stock No 529967 529968 529969

HCPCS A6196 A6197 A6199

Caution: Federal (USA) law restricts this device to sale by or on the order of a physician or licensed healthcare professional.

Restore Hydrogel Dressing

Maintains Moist Healing Environment in Partialand Full-Thickness Wounds Clear, Viscous Gel Up to 72-hour Wear Time Available in Three Forms

Description Quantity/Box Amorphous Gel in Tube 3 oz -- Non Sterile 12 Impregnated Gauze Sponge 4" x 4" -- Sterile 15 Impregnated Gauze Strip 2" x 3.5 yd -- Sterile 12

Stock No 529974 529972 529973

HCPCS A6248 A6231 A6266

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Restore Wound Dressings (continued)

Restore Hydrocolloid Dressing: Sterile

Conformable Semi-Occlusive Dressing with Flexible Outer Layer Maintains Moist Wound Environment Manages Minimal to Moderate Exudate in Partial- and Full-Thickness Wounds Available With or Without Tapered Edges, Specialty Shapes Includes Disposable Wound Measuring Guide

Description Quantity/Box Without Tapered Edges 4" x 4" 5 Without Tapered Edges 6" x 8" 3 Without Tapered Edges 8" x 8" 3 With Tapered Edges 4" x 4" 5 With Tapered Edges 6" x 6" 5 With Tapered Edges 6" x 8" 3 With Tapered Edges 8" x 8" 3 With Tapered Edges/Triangle Shaped 17 sq in 5 With Tapered Edges/Triangle Shaped 26.5 sq in 5

Stock No 519953 519954 519955 519956 519963 519957 519958 519959 519965

HCPCS A6234 A6235 A6236 A6234 A6235 A6235 A6236 A6235 A6235

Restore Extra Thin Hydrocolloid Dressing: Sterile

Thinner Semi-Occlusive Dressing with Flexible Backing Maintains Moist Wound Environment Manages Minimal Exudate in Shallow Wounds Protects Skin from Friction Injury Includes Disposable Wound Measuring Guide

Description 4" x 4" 6" x 8" 8" x 8" Quantity/Box 5 3 3

Stock No 519921 519923 519925

HCPCS A6234 A6235 A6236

Restore Hydrocolloid Dressing with Foam Backing: Sterile

Occlusive Dressing with White Foam Backing For Low Friction Areas with Moderate Exudate Includes Disposable Wound Measuring Guide

Description 4" x 4" 6" x 8" 8" x 8" Quantity/Box 5 3 3

Stock No 519930 519932 519935

HCPCS A6234 A6235 A6236

Restore Odor-Absorbent Dressing: Sterile

Foam Matrix Dressing Covered with Non-Woven Fabric for Patients with Malodorous Wounds Resulting from Necrosis, Infection, or Bacterial Contamination Activated Carbon Helps to Neutralize Offensive Odors Use as Primary or Secondary Dressing

Description 4" x 4" 6" x 10" Quantity/Box 10 10

Stock No 519904 519906

HCPCS A6209 A6211

Did you know...

Disposable Wound Guides

Disposable Wound Measuring Guides are included with all Restore Hydrocolloid Dressings. To order additional Wound Measuring Guides, please see page 158.

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Restore Wound Cleanser

Restore Wound Cleanser

Helps Remove Particulate Matter and Other Debris From Wound Bed No-Rinse Alternative to Saline and Harsh Antiseptic Cleansers

Description 8 oz pump spray 12 oz pump spray Quantity/Box 12 12

Stock No 529975 529976

HCPCS A6260 A6260

· Web-Based Learning Management System · Customizable Tracking and Reporting Wound Care Education · In-Service Videos · Online Tools

Education Modules include:

Wound Care Foundation Courses - Moist Wound Healing - Wound Assessment - Wound Documentation Pressure Ulcer Program - Staging - Prevention - Knowledge Assessment Skin Tear Courses Vascular Ulcer Courses Pain Wound Bioburden

Some Modules available in Spanish

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137

Skin Care

Restore Skin Cleanser

For Use on Intact Skin Cleanses Peristomal and Perineal Skin of Urinary and Fecal Discharge Gentle, Non-Irritating Must Be Rinsed

Description 8 oz (237 mL) Pump Spray Quantity/Box 12

Stock No 517210

HCPCS A9270

Restore Cleanser & Moisturizer

Effective Skin Protection for People with Urinary and/ or Fecal Incontinence Cleanser, Moisturizer, Protective Breathable Barrier for Skin Dimethicone-Based No Rinse

Description 7.5 oz (222 mL) Pump Spray 11.5 oz (340 mL) Pump Spray Quantity/Box 12 12

Stock No 529977 529978

HCPCS A6250 A6250

Restore DimethiCreme Skin Protectant

Dimethicone-Based Protective Breathable Barrier Use on Skin or Mucous Membrane Surfaces Exposed to Harmful Stimuli Moisturizes and Protects Not for Use Under Adhesive Products

Description 4 oz (118 mL) Tube Quantity/Box 12

Stock No 529979

HCPCS A6250

Restore Skin Conditioning Creme

Moisturizes and Soothes Dry, Flaky Skin May be Used Under Adhesive Products

Description 4 oz (120 mL) Bottle Quantity/Box 12

Stock No 517220

HCPCS A6250

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Glossary · Wound Care

Abrasion: Wearing away of the skin through some mechanical process (friction or trauma) Abscess: Accumulation of pus formed in tissue as a result of infection Alginate: A highly absorptive dressing derived from brown seaweed Cellulitis: Inflammation of the tissues indicating a local infection; characterized by redness, edema, and tenderness Collagen: Main supportive protein of the skin and connective tissue Debridement: Removal of foreign material and devitalized or contaminated tissue from a wound Dehiscence: Separation of wound edges Denude: Removal or loss of superficial skin layers Edema: Swelling Epidermis: Outermost layer of the skin Erythema: Diffuse redness of the skin Eschar: Thick, leathery black crust; it is nonviable tissue and is colonized with bacteria Excoriation: Linear scratches on the skin Exudate: Wound fluid or drainage Friction: Rubbing that causes mechanical trauma to the skin Full-thickness: Tissue destruction extending through the dermis to involve subcutaneous level and possibly muscle, fascia, or bone Granulation: Formation of connective tissue and many new capillaries in a full-thickness wound; typically appears as red and cobblestoned Hydrocolloid dressing: A category of wound dressings composed of materials, such as gelatin, pectin, and carboxymethylcellulose, that provide a moist healing environment and adhere to the skin around the wound Hydrogel: Water- or glycerin-based gels, impregnated gauzes, or sheet dressings. Hydrogels maintain a moist healing environment and absorb a minimal amount of wound exudate Hydrophilic: Attracting moisture Infection: Overgrowth of microorganisms in sufficient quantities to overwhelm the body's defenses Maceration: Softening of tissue by soaking in fluids Necrotic: Devitalized tissue; may appear yellow and moist, gray, or dark and leathery Partial-thickness: Wounds that extend through the epidermis and may involve the dermis; these wounds heal by re-epithelialization Peri-wound: The area immediately around the wound Pus: Thick fluid composed of leukocytes, bacteria, and cellular debris Shear: Sliding of skin over subcutaneous tissues and bones obstructing cutaneous capillaries, which may lead to ischemia

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139

Glossary · Wound Care

Pressure Ulcer Stages: Suspected Deep Tissue Injury: Purple or maroon localized area of discolored intact skin or blood-filled blister due to damage of underlying soft tissue from pressure and/or shear. The area may be preceded by tissue that is painful, firm, mushy, boggy, warmer, or cooler as compared to adjacent tissue. Deep tissue injury may be difficult to detect in individuals with dark skin tones. Evolution may include a thin blister over a dark wound bed. The wound may further evolve and become covered by thin eschar. Evolution may be rapid exposing additional layers of tissue even with optimal treatment. Stage I: Intact skin with non-blanchable redness of a localized area usually over a bony prominence. Darkly pigmented skin may not have visible blanching; its color may differ from the surrounding area. The area may be painful, firm, soft, warmer, or cooler as compared to adjacent tissue. Stage I may be difficult to detect in individuals with dark skin tones. May indicate "at risk" persons (a heralding sign of risk). Stage II: Partial-thickness loss of dermis presenting as a shallow open ulcer with a red pink wound bed, without slough. May also present as an intact or open/ruptured serumfilled blister. Presents as a shiny or dry shallow ulcer without slough or bruising. This stage should not be used to describe skin tears, tape burns, perineal dermatitis, maceration, or excoriation. Bruising indicates suspected deep tissue injury. Stage III: Full-thickness tissue loss. Subcutaneous fat may be visible but bone, tendon, or muscle are not exposed. Slough may be present but does not obscure the depth of tissue loss. May include undermining and tunneling. The depth of a stage III pressure ulcer varies by anatomical location. The bridge of the nose, ear, occiput, and malleolus do not have subcutaneous tissue and stage III ulcers can be shallow. In contrast, areas of significant adiposity can develop extremely deep stage III pressure ulcers. Bone/ tendons is not visible or directly palpable. Stage IV: Full-thickness tissue loss with exposed bone, tendon, or muscle. Slough or eschar may be present on some parts of the wound bed. Often include undermining and tunneling. The depth of a stage IV pressure ulcer varies by anatomical location. The bridge of the nose, ear, occiput, and malleolus do not have subcutaneous tissue and these ulcers can be shallow. Stage IV ulcers can extend into muscle and/or supporting structures (e.g., fascia, tendon, or joint capsule) making osteomyelitis possible. Exposed bone/tendon is visible or directly palpable.

Pressure Ulcer Stages as revised and copyrighted by Nat'l Pressure Ulcer Advisory Panel, Feb., 2007

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Pressure Ulcer Stages (continued): Unstageable Pressure Ulcer: Full-thickness tissue loss in which the base of the ulcer is covered by slough (yellow, tan, gray, green, or brown) and/or eschar (tan, brown, or black) in the wound bed. Further Description: Until enough slough and/ or eschar is removed to expose the base of the wound, the true depth, and therefore stage, cannot be determined. Stable (dry, adherent, intact without erythema or fluctuance) eschar on the heels serves as "the body's natural (biological) cover" and should not be removed. Sinus Tract: A course or pathway which can extend in any direction from the wound base; results in dead space with potential for abscess formation Slough: Stringy, necrotic tissue; usually yellow, tan, gray, green, or brown Strip: Removal of epidermis by mechanical means, usually tape Ulcer: Loss of epidermis/dermis or mucous membrane with definite margins Undermine: Skin edges of a wound that have lost supporting tissue under intact skin Wound: A break in the integrity of the skin; an injury to the body which causes a disruption of the normal continuity of the body structures Wound Margin: Rim or border of a wound Skin Structure: The epidermis, which is the outermost layer of the skin, is characterized as follows: avascular, varies in thickness (depending on body location), a dry structure which sheds cells and replaces itself every 4 to 6 weeks; approximately the thickness of a piece of plastic wrap The dermis is located directly beneath the epidermis and is characterized as follows: provides strength and structural support through a vascular network of connective tissue blood vessels, nerves, hair, and nails. Sebaceous glands and sweat glands originate from this layer, which is thicker than the epidermis Below the dermis is the subcutaneous tissue which is composed of major vessels, lymphatics, fat, and connective tissue. This area provides insulation and nutritional support for the skin. Located below the subcutaneous tissue are fascia, muscles, tendons, and bone. The thickness of the dermis and subcutaneous layers vary from person to person and on different parts of the body

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Glossary · Wound Care

Types of Ulcers Pressure Ulcers: A pressure ulcer is localized injury to the skin and/or underlying tissue usually over a bony prominence as a result of pressure, or pressure in combination with shear and/or friction. A number of contributing or confounding factors are also associated with pressure ulcers; the significance of these factors is yet to be elucidated. Venous Ulcers: These are the most common type of lower-leg ulcers in ambulatory people. The underlying cause involves vein damage or an incompetent calf muscle pump action which leads to venous hypertension. As a result, the blood pools in the lower extremities causing edema and leakage of fibrinogen and other blood products into the tissues. Trauma to the area or increased pressure within the tissues results in ulceration. Arterial Ulcers: Arterial ulcers result from chronic or acute arterial insufficiency to the skin and subcutaneous tissue of the lower extremities. The most common cause is a progressive disease: atherosclerosis. The precipitating event leading to ulceration is usually trauma, such as a bumped toe or tight shoes. Arterial ulcers may occur alone or in combination with diabetes, venous stasis, and numerous other conditions. Multidisciplinary management of these patients with early intervention and close monitoring is key to prevention of more serious complications. Neuropathic Ulcers: Neuropathic ulcers may occur in individuals with diabetes, spinal cord injury, Hansen's disease, or other conditions that result in loss of sensation in the legs and feet. Diabetic foot ulcers are most commonly caused by peripheral neuropathy and peripheral vascular disease. Multidisciplinary management of these patients with early intervention and close monitoring is key to prevention of more serious complications.

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Educational Resources

Educational Resources

Secure Start services are here for your patients every step of the way offering: Dedicated Support Education & Resources Insurance Matching Ostomy Products To learn more call 1.888.808.7456, or visit www.hollister.com/us/ostomy/ss

Educational Resources · Ostomy

All of the Hollister educational materials listed below are available on our website: www.hollister.com Educational DVDs Ostomy Educational Theatre Online Education Program Living with a Stoma Secure Start Video Diaries Case Studies (also available online)

For a complete description and current listing, visit the Nursing Education section found in the Healthcare Professional portion of our website, www.hollister.com.

Literature No 921901 available at www.hollister.com available at www.hollister.com available at www.hollister.com

Accessories Literature No Adapt Lubricating Deodorant: A Novel Pouch Additive 907247a Adapt Lubricating Deodorant: Assessment of Performance 907247b Laboratory Measurements & User Appreciation of Adapt 907623 Barrier Rings Never Say No to Change: Making a Product Conversion 908802 A Ring is Not Just a Ring: Creative Uses of Ostomy Accessories 910704 Using the Adapt Barrier Ring for Stomal Bridges/Rods 910701 (online only) Using Adapt Barrier Rings for Mucocutaneous Separation 910702 (online only) C3Life.com Literature No Online Solutions: Closing the Gap in the Continuum of Care 910676 (online only) Convexity Literature No A Case for Soft Convexity (online only) 907022 Making Sense of Convexity (online only) 907502 Case Studies in Convexity (online only) 907526 Principles and Techniques in the Use of Convexity 907634 Cost Impact of Convexity on Ostomy Management (online only) 907655 Using Convexity in the Management of 910314 Complex Clinical Challenges Nursing Issues Literature No Study of Factors Affecting Pre-and Postoperative 907649 Health Self-Assessments in Ostomates (online only) Study of the Effect of WOC Nurse Care on Ostomate 907650 Adaptation and Perception of Life with Stoma (online only) Clinical Challenges Require Creative Solutions 911098 Evaluation of an Existing Ostomy Product Formulary: 921708 A Pilot Study Ostomy Filters Advanced Materials and Design for Improved Filter Performance (online only) Literature No 910293

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Pediatrics Product Adaptations in Pediatric Ostomy Care

Literature No 908803

Psychosocial Adaptation Literature No Overcoming Life Discontinuity Following Ileostomy Surgery 908804 (online only) Associations between Financial Responsibility for Ostomy 910291 Pouching Systems, Pouching System Change Habits and Peristomal Skin Condition (online only) Post-Surgery Return to Sexual Activity (online only) 910296 Post-Surgery Social Isolation (online only) 910298 Ostomate Recollections of What They Really Needed to 910301 Know After Surgery (online only) Body Image Perception and Peristomal Skin Condition as 910741 Quality of Life Issues (online only) Quality of Life and Influencing Factors in Ostomates Less 910777 Than 24 Months Post-Surgery (online only) Social Isolation: The Association Between Low Life 910778 Satisfaction and Social Connectivity (online only) An Association Between Continuing Treatment and 910779 Adaptation in Ostomates (online only) An Association Between Peristomal Skin Condition 910780 and Life Satisfaction in New Ostomates (online only) Secure Start Services Literature No Partnering to Improve Ostomy Patient Outcomes (online only) 908801 Excellence in Care: Partnerships for Better Outcomes 910327 Providing Ostomy Care Across the Continuum 910672 The Secure Start Program: Making a Difference in the 911138 Continuum of Care The Continuum of Care: Demonstrating Positive 911095 Outcomes through the Hollister Secure Start Program Skin Barriers Literature No Formulating Hydrocolloid Skin Barriers for 907661 pH Control (online only) Preliminary Studies on the Skin Biophysics and Ostomy Skin 910286 Barriers. Part 2 ­ Feasibility of Measuring Peel Force and Skin Properties Comparing Peristomal to Normal Surround Skin (online only) Preliminary Studies on the Skin Biophysics and Ostomy Skin 910288 Barriers. Part 1 ­ Relationship between Peel Force, Quantitative Measures of Skin Damage and Subjective Discomfort using the Abdomen as the Test Site (online only) Studies on Skin Biophysics and Ostomy Skin Barriers: 910776 Comparison of Peel Force Measurements and Skin Structure Between Peristomal and Normal Surrounding Skin (online only) The Shape of Things to Come: An Alternative to 921705 Cut-to-Fit Barriers Peristomal Skin and Tape: Stick to the Facts 921714 Stoma Sizing Guide 903515

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Educational Resources · Ostomy

Instructional Materials Literature No Understanding Your Colostomy Booklet 907411 Understanding Your Ileostomy Booklet 907412 Understanding Your Urostomy Booklet 907413 Understanding Your Colostomy/Ileostomy/ 909961 Urostomy Booklet (English) (online only) Understanding Your Colostomy/Ileostomy/ 910130 Urostomy Booklet (Spanish) (online only) Understanding Your Colostomy/Ileostomy/ 910813 Urostomy Booklet (Russian) (online only) 921793 NEW! Understanding Your Colostomy/Ileostomy/ Urostomy Booklet (Vietnamese) (online only) What's Right? ­ Colostomy (English) (online only) 907590 What's Right? ­ Colostomy (Spanish) (online only) 907242 What's Right? ­ Ileostomy (English) (online only) 907602 What's Right? ­ Ileostomy (Spanish) (online only) 907243 What's Right? ­ Urostomy (English) (online only) 907603 What's Right? ­ Urostomy (Spanish) (online only) 907244 Can They Still Wiggle and Giggle? Coloring Book 907617 The Day I Got My Stoma (online only) 910497 Caring for Your Child With an Ostomy ­ Pediatric (English) 907778 Caring for Your Child With an Ostomy ­ Pediatric (Spanish) 907809 Caring for Your Child With an Ostomy ­ Pediatric 907809 (French Canadian) (online only) Caring for your Loved One with an Ostomy 911085 Ostomy Care Tips (Pads of 25) Adapt Barrier Rings Adapt Oval Convex Barrier Rings and NEW! Adapt Convex Barrier Rings Adapt Lubricating Deodorant Adapt Ostomy Belt Adapt Paste Adapt Stoma Powder Colostomy Irrigation Using Convexity Fistula Management Ileostomy Dietary Guidelines Lock 'n Roll Microseal Closure (English) Lock 'n Roll Microseal Closure (Spanish) Medicare Reimbursement Guide One-Piece Pouching System One-Piece Pouching System (Spanish) Oval Cut-to-Fit Skin Barriers (online only) Patient Anatomy Guide Peristomal Skin Care/Complications Literature No 910395 910801 907428 911082 907249 907255 907254 907608 910398 910974 911126 911209 911046 910401 911172 910707 910396 907253

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Ostomy Care Tips (Pads of 25) (continued) Literature No Pouchkins One-Piece Pouching System 907874 Pouchkins Premie & Newborn Pouching System 907876 Pouchkins Two-Piece Pouching System 907875 Routine Care of Your Ostomy 910399 Routine Care of Your Ostomy (Spanish) 910800 Skin Barriers 906756 Skin Gel Wipes 907250 Stoma Complications 907252 Stoma Site Selection 910134 Two-Piece Pouching System 910402 Two-Piece Pouching System (Spanish) 911173 Two-Piece Pouching System with FormaFlex Skin Barrier 911296 Types of Ostomies 905756 Universal Catheter Access Port (UCAP) 921709 Lifestyle Booklets Skin Care for your Stoma: 3 Easy Steps to Maintaining Healthy Skin Good Eating Habits and Good Health with an Ostomy Sports and Fitness with an Ostomy Travel with an Ostomy Love and Sex for People with an Ostomy Maintaining Personal and Professional Relationships with an Ostomy Pregnancy and Childbirth with an Ostomy Secure Start Services Secure Start Newsletter Secure Start Preoperative Kit Secure Start Kit Shadow Buddies Light Skin Tone Girl Light Skin Tone Boy Medium Skin Tone Girl Medium Skin Tone Boy Dark Skin Tone Girl Dark Skin Tone Boy Additional Resources Choosing your Ostomy Products Stoma Model (White Plastic) Consumer Support Groups American Cancer Society (ACS) www.cancer.org Brenda Elsagher's Website: www.livingandlaughing.com Literature No 907530 907531 907532 907533 907534 907535 907536

subscribe on www.hollister.com ask your Sales Specialist ask your Sales Specialist Item No 905439 905440 905441 905442 905443 905444 Item No 921853 858674

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Educational Resources · Ostomy

Consumer Support Groups (continued) United Ostomy Associations of America, Inc. (UOAA) www.uoaa.org 1.800.826.0826 Crohn's and Colitis Foundation of America (CCFA) www.ccfa.org 1.800.932.2423 C3Life www.C3Life.com Get Your Guts In Gear www.ibdride.org 1.866.9iGOTGUTS (944.6848) Shadow Buddies www.shadowbuddies.org 1.913.642.4646 Youth Rally Committee www.rally4youth.org Professional Organizations: Wound, Ostomy and Continence Nurses Society (WOCN) www.wocn.org 1.888.224.9626

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Educational Resources · Continence Care

Educational Materials Patient Education Anatomy Guide Apogee Intermittent Catheter Guide for Use Apogee Closed System Guide for Use Advance Plus Guide for Use (English) Advance Plus Guide for Use (Spanish) Advance Plus Patient Education CD Understanding Neurogenic Bladder (English) Understanding Neurogenic Bladder (Spanish) Living with Spinal Cord Injury (English) Living with Spinal Cord Injury (Spanish) Pediatric Bladder Booklet ­ Girl (English) Pediatric Bladder Booklet ­ Girl (Spanish) Pediatric Bowel Booklet ­ Girl (English) Pediatric Bowel Booklet ­ Girl (Spanish) Pediatric Bladder Booklet ­ Boy (English) Pediatric Bladder Booklet ­ Boy (Spanish) Pediatric Bowel Booklet ­ Boy (English) Pediatric Bowel Booklet ­ Boy (Spanish) Catheter Coloring Book ­ Girl Catheter Coloring Book ­ Boy InView Male External Catheter Care Tips Everyday Male External Catheter Care Tips Extended Wear Male External Catheter Care Tips Clinician Documentation Literature No 903789 908984 908983 907266 907373 906574 911195 921745 907500 907640 908923 909964 908925 909965 908924 909966 908926 909967 907706 907705 911229 921798 921799 910598

Clinical and Laboratory Evidence Literature No The Hygienic Benefits of a No-Touch Intermittent Catheter 911162 with a Protective Tip and/or sleeve Secure Start Continence Care Program Literature No Intermittent Catheter, Male External Catheter and 910703 Urine Collector Prescription Form Leg Bag Prescription Form 907523 Patient Information 910767 Clinician Information 910768 The Benefits of a Comprehensive Urological Discharge Program 910601 Intermittent Catheter Shadow Buddies Light Skin Tone Boy Light Skin Tone Girl Medium Skin Tone Boy Medium Skin Tone Girl Dark Skin Tone Boy Dark Skin Tone Girl Global Sizing Guide Item No 907281 907283 907324 907325 907282 907086 911174

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Educational Resources · Continence Care

Professional Organizations American Academy of Physical Medicine and Rehabilitation (AAPMR) www.aapmr.org 1.847.737.6000 American Spinal Injury Association (ASIA) www.asia-spinalinjury.org 1.404.355.9772 American Urological Association (AUA) www.auanet.org 1.410.689.3700 Association of Rehabilitation Nurses (ARN) www.rehabnurse.org 1.800.229.7530 International Continence Society www.icsoffice.org +44.117.9444881 Society of Urological Nurses and Associates (SUNA) www.suna.org 1.888.827.7862 Wound, Ostomy and Continence Nurses Society (WOCN) www.wocn.org 1.888.224.WOCN (9626) Support Organizations The Buoniconti Fund to Cure Paralysis www.thebuonicontifund.com 1.888.STANDUP (782.6387) The Miami Project to Cure Paralysis www.miamiproject.miami.edu 1.800.STAND-UP (782.6387) National Association for Continence (NAFC) www.nafc.org 1.800.BLADDER (252.3337) National Rehabilitation Information Center www.naric.com 1.800.346.2742 National Spinal Cord Injury Association www.spinalcord.org 1.800.962.9629 Paralyzed Veterans of America www.pva.org 1.800.555.9140 The Simon Foundation for Continence www.simonfoundation.org 1.800.23SIMON (237.4666) Spina Bifida Association www.sbaa.org 1.800.621.3141

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Support Organizations (continued) Spinal Cord Injury Information Network www.spinalcord.uab.edu 1.205.934.3283 Us Too International, Inc. www.ustoo.org 1.800.80.US-TOO (1.800.808.7866)

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Educational Resources · Bowel Care

Educational Materials ActiFlo Pocket Guide ActiFlo Quick Reference Care Tips/Wall Chart ActiFlo Irrigation Care Tips ActiFlo Patient Selection Considerations ActiFlo Frequently Asked Questions ActiFlo Points to Remember InstaFlo Quick Reference Insertion Care Tips InstaFlo Quick Reference Care Tips InstaFlo Points to Remember Literature No 911180 911181 911182 911323 911324 911325 911165 911256 921821

Video Resources Literature No ActiFlo Indwelling Bowel Catheter Instructional DVD 921797 (also online) Application of Drainable Fecal Collector DVD (also online) 921851 InstaFlo Bowel Catheter Instructional DVD (also online) 921796 Journal Reprints Literature No Fecal Containment in Bedridden Patients: Economic Impact 910273 of Two Bowel Catheter Systems (Kowal-Vern et al., 2009) Clinical Utility and Economic Impact of Introducing 910048 a Bowel Management System (Echols et al., 2007) The Effect of a Pressure Ulcer Prevention Program 908820 and the Bowel Management System in Reducing Pressure Ulcer Prevalence in an ICU setting (Benoit & Watts, 2007) A Nonsurgical Means of Fecal Diversion: 908955 The Zassi® Bowel Management System (Keshava et al., 2007) Understanding Recent Regulatory Guidelines for 910129 Hospital-Acquired Catheter-Related Urinary Tract Infections and Pressure Ulcers (Thomas-Hess & Rook, 2007) Clinical Application of Continent Anal Plug in Bedridden 908819 Patients with Intractable Diarrhea (Kim et al., 2001) Clinical Poster Reprints Odor Barrier Performance of Bowel Catheter Collection Bags (Hantke, 2010) Standardized Practice for the Administration of Rectal Lactulose in Hospitalized Patients with Hepatic Encephalopathy (Tucker, 2009) Economical and Clinical Advantages of Better Bowel Management in Hospitalized Patients (Downey & Goedvolk, 2009) The Use of Irrigation with an Indwelling Bowel Catheter in a Critical Care Setting (Barnett et al., 2009) Fecal Containment Using Indwelling Bowel Catheters to Potentially Prevent Multidrug-Resistant Organism Nosocomial Infections (Barnett et al., 2009) Utilization of Indwelling Bowel Catheters External to Intensive Care Unit (ICU) (Koenig et al., 2009) Literature No 911221 910954

910979

910652 910685

910641

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Clinical Poster Reprints (continued) Literature No A Nurse-Driven, Evidence-Based Project: How CNS 910972 Collaborative Partnerships Facilitated the Introduction and Implementation of an FDA-Cleared Bowel Management System at One Healthcare Network (Maille & Morrison, 2009) Comparison of Two Indwelling Bowel Catheters on Economic 910638 Impact by Number of Bed Linen and Dressing Changes Per Day (Powers et al., 2009) Comparison of Economic Impact of Bed Linen Changes Per 910647 Day of Two Indwelling Bowel Catheters (Powers et al., 2009) Using a Catheter-Based Bowel Management System 907996 to Promote Skin Health (Hughes, 2007) Managing Fecal Incontinence in a Rehabilitation Patient 909920 with Neurogenic Bowel (McLean, 2007) Medication Delivery Via Indwelling Bowel Access Device 908000 Plays Critical Role in Critical Care (Still & Wilds, 2007) Utilization and Benefits of an Indwelling Bowel Catheter: 907998 Achieving Maximum Performance (Zaletel, 2007) Specialty Organizations Wound, Ostomy and Continence Nurses Society (WOCN) www.wocn.org 1.888.224.WOCN (9626) American Burn Association www.ameriburn.org 1.312.642.9260 Association for Professionals in Infection Control and Epidemiology (APIC) www.apic.org 1.202.789.1890 Society of Critical Care Medicine (SCCM) www.sccm.org 1.847.827.6869 National Pressure Ulcer Advisory Panel www.npuap.org 1.202.521.6789 American Association of Critical Care Nurses (AACN) www.aacn.org 1.800.899.AACN (2226)

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Educational Resources · Tube Fasteners

Educational Materials Anchor Fast Oral Endotracheal Tube Fastener Care Tips Video Resources How to Apply the Anchor Fast Oral Endotracheal Tube Fastener DVD (also online) Horizontal Drain Tube Attachment Device: An Alternative to Sutures and Tape Vertical Drain Tube Attachment Device: An Alternative to Sutures and Tape Journal Reprints Stable and Secure: Anchor Fast Oral Endotracheal Tube Fastener (Hewitt et al., 2009) Literature No 921758 Literature No 909989 Online Only Online Only Literature No 910793

Clinical Poster Reprints Literature No The Cost of Mechanical Ventilation: Reductions Due 921840 to the Use of a Simple Endotracheal Tube Fastener (Hewitt et al., 2011) Alternative Approach to Prevent Lip Pressure Ulcers 911070 in the Intubated Patient (Veneman et al., 2010) Utilization of Anchor Fast Oral Endotracheal Tube Fastener 910991 to Reduce the Incidence of Lip Ulcers (Miller et al., 2009) Simple to Complex: Strategies for Preventing 907607 and Managing Tube-Related Complications (Bryant & Fleischer, 2006) Specialty Organizations American Association for Respiratory Care (AARC) www.aarc.org 1.972.243.2272 Wound, Ostomy and Continence Nurses Society (WOCN) www.wocn.org 1.888.224.9626 Society of Critical Care Medicine (SCCM) www.sccm.org 1.847.827.6869 National Pressure Ulcer Advisory Panel www.npuap.org 1.202.521.6789 American Association of Critical Care Nurses (AACN) www.aacn.org 1.800.394.5995

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LEARNING MANAGEMENT SYSTEM

A smarter way to learn.

INTEGRATES INTO EXISTING LMS SYSTEMS

TRACKABILITY & REPORTING

24/7 WEB-BASED ACCESS

INDIVIDUALIZED LEARNING

The future of Wound Care Education is here.

ConnectEd is a new Web-based education resource from Hollister Wound Care that is transforming the way bedside nurses learn about advanced wound care. Unlike other systems, ConnectEd can be integrated into existing learning management systems and provides customizable tracking and reporting documentation. For more information visit www.HollisterWoundCare.com/Connect-Ed or call your Hollister Wound Care representative today.

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Educational Resources · Hollister Wound Care

Educational Materials Literature No Restore Wound and Skin Care Family Brochure 911056 The Use and Efficacy of Silver Dressings 910751 Contact Layer Brochure 921818 Wound Dressing Selection Guide/Poster 911292 Foam and Specialty Dressings Brochure 911038 Alginate Dressings Brochure 911037 Create the Shape Poster (foam dressing cutting guide) 911146 Duo/Trio Brochure 910725 Skin Tear Algorithm Pocket Card 921805 Skin Tears: State of the Science: Consensus Statements 921822 for the Prevention, Prediction, Assessment, and Treatment of Skin Tears The Role of a Silver Releasing Lipido-Colloid Contact Layer in 910548 Venous Leg Ulcers Presenting Inflammatory Signs Suggesting Heavy Bacterial Colonization: Results of a Randomized Controlled Study Use of a New, Flexible Lipidocolloid Dressing on Acute and 921817 Chronic Wounds: Results of a Clinical Study Restore Wound Dressing Inservice Videos DVD 911301 Hydrofera Blue Brochure 921637 Hydrofera Blue Application Guide 921639 Hydrofera Blue Clinical Monograph 921638 Hydrofera Blue Inservice Video DVD 921763 Measuring Tools Restore Wound Measuring Guide, Small Restore Wound Measuring Guide, Large Wound Measuring Guide, 6" ruler Pain Assessment Scale ConnectEd Educational Resources ConnectEd Brochure ConnectEd Course Selection Guide ConnectEd DVD Product Inservice Tools are available through your Hollister sales representative Literature No 874366 874367 908892 910132 Literature No 921784 921785 921786

Algorithms, Protocols, and Other Educational Tools are available on our website, www.hollisterwoundcare.com. For a complete description, visit the Educational Resources portion of our website, or contact your Hollister sales representative.

EB Educational Resources Using a Novel Contact Layer for the Management of Epidermolysis Bullosa Skin Lesions EB Dressing Guide

Literature No 907990 911071

Contact our special EB Resource hotline at 1.888.EBAID4U with questions or needs specific to epidermolysis bullosa (EB). Additional resources including clinical posters are available on our website, www.hollisterwoundcare.com. For a complete description, visit the EB Resources portion of our website.

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Clinical Poster Reprints

Literature No 921636 921644

Hydrofera Blue Foam Dressings The Effect of Various Wound Dressings on the Activity of Debriding Enzymes A Comparison of Two Antimicrobial Dressings: A Randomized Prospective Trial Comparing PVA Foam with Two Organic Pigments to a Silver Based Wound Dressing Case Study Review: Use of an Absorbent Bacteriostatic Dressing for Multiple Indications Wound Care Challenges and Opportunities with Elderly Patients

921789 921790

Restore Foam Dressings featuring TRIACT ADVANCED Technology Leg Ulcers and a new Micro-Adherent Absorbent Dressing 911075 Pressure Ulcer Treatment: Changing Formulary, 911208 Changing Practice and Wound Care Restore Contact Layer FLEX with TRIACT Technology Benefits of a Flexible Non-Adherent Lipido-Colloid Contact Layer Used in Conjunction with Negative Pressure Wound Therapy (NPWT) Restore Contact Layer with TRIACT Technology What is the Cost of Pain? A Quantitative Model Evaluating a New Non-Adherent Contact Layer in the Treatment of Skin Tears Simple Changes in Wound Trauma Management Yield Significant Benefits for Everyone Using a Novel Contact Layer for the Management of Epidermolysis Bullosa Skin Lesions Assessment of a New Contact Layer in the Local Management of Pediatric Wounds: Results of a European Clinical Study Use of Negative Pressure Wound Therapy with a New Wound Contact Layer: Results of a Clinical Evaluation Use of a Novel Contact Layer in Wound Care Clinical Evaluation of a New Contact Layer Dressing for the Local Management of Acute and Chronic Wounds The Role of "Touch" in the Assessment of New Wound Care Dressings Clinical Evaluation of Non-Adherent Contact Layer and Foam Dressings with and without Silver for the Local Management of Acute and Chronic Wounds Restore Contact Layer with TRIACT Technology, Silver A Cost Comparison of a Silver, Pain-free Donor Site Dressing vs. a Traditional Donor Site Dressing Maximizing Reimbursement for Wound Care is Crucial to the Survival of the Agency: One Agency's Success Story Use of a Contact Layer with Silver Under a Negative Pressure Dressing Minimizing Complications During Dressing Changes of a Bilayer Skin Equivalent in the Treatment of Venous Leg Ulcers 921788

910489 910483 910487 907990 907984

907982 907978 909916 909918 910644

910472 910485 910278 910469

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Educational Resources · Hollister Wound Care

Clinical Poster Reprints (continued) Clinical Evaluation of Non-Adherent Contact Layer and Foam Dressings with and without Silver for the Local Management of Acute and Chronic Wounds Hospital-Acquired Surgical Site Infections: Considering a Simple, Effective, Versatile Silver Technology to Improve Patient Care Restore Foam Dressings with TRIACT Technology Leg Ulcers and a New Foam Dressing: Results of Two French Multicenter Clinical Studies Use of a Novel Foam Dressing with Non-Adherent Contact Layer in Leg Ulcer Management Clinical Evaluation of a New Foam Dressing with and without Adhesive for the Local Management of Acute and Chronic Wounds Clinical Trial of a New Foam Dressing for the Local Management of 10 Donor Sites Clinical Evaluation of Non-Adherent Foam Dressings with and without Silver for the Local Management of Split-Thickness Donor Sites Clinical Evaluation of Non-Adherent Contact Layer and Foam Dressings with and without Silver for the Local Management of Acute and Chronic Wounds Literature No 910644

910654

907986 907980 909915

909917 910689

910644

Restore Foam Dressings Silver, Non-Adhesive with TRIACT Technology Critical Colonization and a New Absorbent Dressing 907992 Impregnated with Silver Salts: Results of a Clinical Study in the Management of Leg Ulcers Application of Silver Foam Dressings to Donor Sites in 910275 Immunocompromised Patients Can Enhance Wound Healing Use of a Non-Adhesive Silver Absorbent Foam Dressing 910317 Underneath an Unna Boot Clinical Evaluation of Non-Adherent Foam Dressings 910689 with and without Silver for the Local Management of Split-Thickness Donor Sites Clinical Evaluation of Non-Adherent Contact Layer and 910644 Foam Dressings with and without Silver for the Local Management of Acute and Chronic Wounds Restore Calcium Alginate with Silver Visualizing the Death of Wound Microorganisms Within a Silver Alginate Dressing Easy Does It: Evaluation of a Silver Alginate vs. Silver Fiber Dressing in Cost Effectiveness and Ease of Use Restore Hydro-Shield Foam Dressings The Role of Ready-To-Use, Absorbent Waterproof Dressings as Primary Wound Care Dressing 921762 910655

921663

Restore DUO & TRIO Absorbent Dressings with TRIACT Technology Emergency Department Treatment of Low-Exuding 911074 Traumatic Wounds, sutured or otherwise, with a Ready-to-Apply Lipido-Colloid Dressing

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Clinical Poster Reprints (continued)

Literature No

Restore DUO & TRIO Absorbent Dressings with TRIACT Technology (continued) The Role of Ready-to-Use, Lightly Absorbent Dressings with 911078 Non-Adherent Contact Layer as Primary Wound Care Dressing Clinical Evaluation of a New Absorbent, Non-Adhering 910982 Dressing with and without Adhesive for Local Management of Acute and Chronic Wounds Practice Innovation: Skin Tear Treatment that Changes Outcomes 921664 ConnectEd Learning Management System A Novel Approach to Improving Wound Outcomes Through an Evidence-Based Learning Management System Other Topics WOCN Workgroup: Engaging the Power of Standardization in Wound Care Specialty Organizations DebRA of America, Inc. www.debra.org 1.866.332.7276 The Association for the Advancement of Wound Care (AAWC) www.aawconline.org 1.866.229.9999 Wound, Ostomy and Continence Nurses Society (WOCN) www.wocn.org 1.888.224.9626 American Academy of Wound Management (AAWM) www.aawm.org 1.202.521.0368 American Burn Association www.ameriburn.org 1.312.642.9260 Wound Healing Society www.woundheal.org 1.763.765.2377 National Pressure Ulcer Advisory Panel www.npuap.org 1.202.521.6789 American Diabetes Association www.diabetes.org 1.800.DIABETES (342.2383) National Spinal Cord Injury Association www.spinalcord.org 1.800.962.9629 U.S. Department of Health and Human Services Centers for Medicare & Medicaid Services www.cms.hhs.gov National Guideline Clearinghouse www.guideline.gov European Wound Management Association www.ewma.org +45 70 20 03 05

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911207

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Index · Stock Number

Stock No Page(s) Stock No Page(s) Stock No 509349 509372 509373 509374 509375 509376 509377 509378 509379 509380 509381 509382 509384 509387 509388 509389 509390 509393 509394 509395 509396 517210 517220 519904 519906 519921 519923 519925 519930 519932 519935 519953 519954 519955 519956 519957 519958 519959 519963 519965 529300 529301 529302 529303 529304 529305 529306 529937 529938 529939 529940 529967 529968 529969 529972 529973 Page(s) 10xx . . . . . . . . . . . . .92 1410x . . . . . . . . . . . .27 1420x . . . . . . . . . . . .25 143x . . . . . . . . . . . . .78 1430x . . . . . . . . . . . .26 1440x . . . . . . . . . . . .28 1450x . . . . . . . . . . . .29 1460x . . . . . . . . . . . .25 1470x . . . . . . . . . . . .26 1480x . . . . . . . . . . . .28 149xx . . . . . . . . . . . .29 1520x . . . . . . . . . . . .25 1540x . . . . . . . . . . . .28 1550x . . . . . . . . . . . .29 1560x . . . . . . . . . . . .25 1580x . . . . . . . . . . . .28 1590x . . . . . . . . . . . .29 1610x . . . . . . . . . . . .26 1640x . . . . . . . . . . . .26 1796 . . . . . . . . . . . .51 1800x . . . . . . . . . . . .30 1801x . . . . . . . . . . . .32 1810x . . . . . . . . . . . .31 1811x . . . . . . . . . . . .30 1812x . . . . . . . . . . . .31 1813x . . . . . . . . . . . .30 1814x . . . . . . . . . . . .31 1815x . . . . . . . . . . . .33 1816x . . . . . . . . . . . .31 1817x . . . . . . . . . . . .31 1818x . . . . . . . . . . . .30 1819x . . . . . . . . . . . .30 1820x . . . . . . . . . . . .31 1828x . . . . . . . . . . . .30 18282 . . . . . . . . . . .60 1829x . . . . . . . . . . . .30 18292 . . . . . . . . . . .60 1832x . . . . . . . . . . . .32 1833x . . . . . . . . . . . .33 1835x . . . . . . . . . . . .33 1836x . . . . . . . . . . . .32 1837x . . . . . . . . . . . .32 1838x . . . . . . . . . . . .32 18382 . . . . . . . . . . .61 1839x . . . . . . . . . . . .32 18392 . . . . . . . . . . .61 1840x . . . . . . . . . . . .33 18402 . . . . . . . . . . .61 1841x . . . . . . . . . . . .33 18412 . . . . . . . . . . .61 1842x . . . . . . . . . . . .33 1873x . . . . . . . . . . . .33 1875x . . . . . . . . . . . .33 1900x . . . . . . . . . . . .34 1905x . . . . . . . . . . . .35 1910x . . . . . . . . . . . .34 1915x . . . . . . . . . . . .35 1920x . . . . . . . . . . . .34 1925x . . . . . . . . . . . .35 31003 . . . . . . . . . .109 31005 . . . . . . . . . .109 31008 . . . . . . . . . .109 31009 . . . . . . . . . .109 314x . . . . . . . . . . . . .79 318x . . . . . . . . . . . . .79 32004 . . . . . . . . . .108 32005 . . . . . . . . . .108 32006 . . . . . . . . . .108 32007 . . . . . . . . . .108 322x . . . . . . . . . . . . .77 323x . . . . . . . . . . . . .77 327x . . . . . . . . . . . . .78 33004 . . . . . . . . . .108 332x . . . . . . . . . . . . .78 334x . . . . . . . . . . . . .75 340x . . . . . . . . . . . . .76 360x . . . . . . . . . . . . .77 366x . . . . . . . . . . . . .77 370x . . . . . . . . . . . . .73 372x . . . . . . . . . . . . .72 373x . . . . . . . . . . . . .74 374x . . . . . . . . . . . . .73 376x . . . . . . . . . . . . .72 3761 . . . . . . . . . . . .60 3774 . . . . . . . . . . . .61 3777 . . . . . . . . . . . .59 3778 . . . . . . . . . . . .59 3795 . . . . . . . . . . . .59 3796 . . . . . . . . . . . .59 3797 . . . . . . . . . . . .60 3799 . . . . . . . . . . . .60 380x . . . . . . . . . . . . .74 381x . . . . . . . . . . . . .74 382x . . . . . . . . . . . . .76 383x . . . . . . . . . . . . .74 384x . . . . . . . . . . . . .75 387x . . . . . . . . . . . . .75 389x . . . . . . . . . . . . .74 390x . . . . . . . . . . . . .76 506487 . . . . . . . . .130 506488 . . . . . . . . .130 506489 . . . . . . . . .130 509338 . . . . . . . . .130 509339 . . . . . . . . .130 509341 . . . . . . . . .130 509342 . . . . . . . . .130 509343 . . . . . . . . .131 509344 . . . . . . . . .131 509345 . . . . . . . . .131 509346 . . . . . . . . .131 509347 . . . . . . . . .131 509348 . . . . . . . . .131 . . . . . . . . .131 . . . . . . . . .132 . . . . . . . . .132 . . . . . . . . .132 . . . . . . . . .131 . . . . . . . . .131 . . . . . . . . .131 . . . . . . . . .130 . . . . . . . . .130 . . . . . . . . .133 . . . . . . . . .133 . . . . . . . . .133 . . . . . . . . .133 . . . . . . . . .133 . . . . . . . . .133 . . . . . . . . .133 . . . . . . . . .133 . . . . . . . . .133 . . . . . . . . .133 . . . . . . . . .133 . . . . . . . . .133 . . . . . .69, 138 . . . . . .70, 138 . . . . . . . . .136 . . . . . . . . .136 . . . . . . . . .136 . . . . . . . . .136 . . . . . . . . .136 . . . . . . . . .136 . . . . . . . . .136 . . . . . . . . .136 . . . . . . . . .136 . . . . . . . . .136 . . . . . . . . .136 . . . . . . . . .136 . . . . . . . . .136 . . . . . . . . .136 . . . . . . . . .136 . . . . . . . . .136 . . . . . . . . .136 . . . . . . . . .134 . . . . . . . . .134 . . . . . . . . .134 . . . . . . . . .134 . . . . . . . . .134 . . . . . . . . .134 . . . . . . . . .134 . . . . . . . . .135 . . . . . . . . .135 . . . . . . . . .135 . . . . . . . . .135 . . . . . . . . .135 . . . . . . . . .135 . . . . . . . . .135 . . . . . . . . .135 . . . . . . . . .135

162

Hollister Incorporated

1.888.740.8999

Stock No

Page(s)

Stock No

Page(s)

Stock No

Page(s)

529974 . . . . . . . . .135 529975 . . . . . . . . .137 529976 . . . . . . . . .137 529977 . . . . . . . . .138 529978 . . . . . . . . .138 529979 . . . . . . . . .138 716x . . . . . . . . . . . . .78 7299 . . . . . . . . . . . .68 7300 . . . . . . . . . . . .68 7331 . . . . . . . . . . . .69 7700 . . . . . . . . . . . .71 771x . . . . . . . . . . . . .69 7721 . . . . . . . . . . . .70 7723 . . . . . . . . . . . .70 7724 . . . . . . . . . . . .70 7728 . . . . . . . . . . . .70 773x . . . . . . . . . . . . .69 7730 . . . . . . . . . . . .68 7731 . . . . . . . . . . . .68 7736 . . . . . . . . . . . .69 7740 . . . . . . . . . . . .70 7760 . . . . . . . . . . . .68 7766 . . . . . . . . . . . .71 7767 . . . . . . . . . . . .70 780x . . . . . . . . . . . . .67 7800 . . . . . . . . . . . .71 78500 . . . . . . . . . . .67 78501 . . . . . . . . . . .67 7905 . . . . . . . . . . . .71 7906 . . . . . . . . . . . .67 7910 . . . . . . . . . . . .71 7917 . . . . . . . . . . . .68 79300 . . . . . . . . . . .67 79301 . . . . . . . . . . .67 79400 . . . . . . . . . . .67 795xx . . . . . . . . . . . .67 796xx . . . . . . . . . . . .67 80xx . . . . . . . . . . . . .45 8031 . . . . . . . . . . . .42 8081 . . . . . . . . . . . .42 81xx . . . . . . . . . . . . .45 8131 . . . . . . . . . . . .42 8181 . . . . . . . . . . . .42 80110 . . . . . . . . . . .48 80070 . . . . . . . . . . .48 81070 . . . . . . . . . . .48 81110 . . . . . . . . . . .48 821xx . . . . . . . . . . . .51 82100 . . . . . . . . . . .50 823xx . . . . . . . . . . . .50 82300 . . . . . . . . . . .50 82302 . . . . . . . . . . .50 82400 . . . . . . . . . . .50 82402 . . . . . . . . . . .50 82500 . . . . . . . . . . .50 8331 . . . . . . . . . . . .41 www.hollister.com

834x . . . . . . . . . . . . .75 843x . . . . . . . . . . . . .52 844x . . . . . . . . . . . . .51 8440 . . . . . . . . . . . .51 8450 . . . . . . . . . . . .51 8460 . . . . . . . . . . . .51 846x . . . . . . . . . . . . .51 847x . . . . . . . . . . . . .52 848x . . . . . . . . . . . . .52 849x . . . . . . . . . . . . .52 850x . . . . . . . . . . . . .46 851x . . . . . . . . . . . . .47 852x . . . . . . . . . . . . .46 853x . . . . . . . . . . . . .44 8531 . . . . . . . . . . . .41 855x . . . . . . . . . . . . .44 8551 . . . . . . . . . . . .41 858x . . . . . . . . . . . . .46 859x . . . . . . . . . . . . .47 861x . . . . . . . . . . . . .47 862x . . . . . . . . . . . . .47 8631 . . . . . . . . . . . .41 863x . . . . . . . . . . . . .44 8641 . . . . . . . . . . . .41 864x . . . . . . . . . . . . .45 8651 . . . . . . . . . . . .41 872x . . . . . . . . . . . . .72 873x . . . . . . . . . . . . .73 874x . . . . . . . . . . . . .73 875x . . . . . . . . . . . . .72 877x . . . . . . . . . . . . .73 8770 . . . . . . . . . . . .69 8800 . . . . . . . . . . . .68 8801 . . . . . . . . . . . .68 881x . . . . . . . . . . . . .74 883xx . . . . . . . . . . . .45 88300 . . . . . . . . . . .42 88302 . . . . . . . . . . .43 884xx . . . . . . . . . . . .45 88400 . . . . . . . . . . .42 88401 . . . . . . . . . . .43 88402 . . . . . . . . . . .43 88501 . . . . . . . . . . .44 887xx . . . . . . . . . . . .46 88700 . . . . . . . . . . .43 88800 . . . . . . . . . . .43 890x . . . . . . . . . . . . .75 89001 . . . . . . . . . . .52 89002 . . . . . . . . . . .53 89003 . . . . . . . . . . .53 89004 . . . . . . . . . . .53 89005 . . . . . . . . . . .53 910x . . . . . . . . . . . . .95 920x . . . . . . . . . . . . .95 931xx . . . . . . . . . . . .94 9342 . . . . . . . . . . . .97

9343 . . . . . . . . . . . .97 9345 . . . . . . . . . . . .97 9346 . . . . . . . . . . . .97 9348 . . . . . . . . . . . .96 9349 . . . . . . . . . . . .96 940xx . . . . . . . . . . . .94 941xx . . . . . . . . . . . .94 951xx . . . . . . . . . . . .94 960xx . . . . . . . . . . . .94 961xx . . . . . . . . . . . .94 9645 . . . . . . . . . . . .96 9655 . . . . . . . . . . . .96 970x . . . . . . . . . . . . .49 971xx . . . . . . . . . . . .94 974xx . . . . . . . . . . . .95 975xx . . . . . . . . . . . .95 976xx . . . . . . . . . . . .95 977x . . . . . . . . . . . . .49 977xx . . . . . . . . . . . .95 9779 . . . . . . . . . . . .49 978xx . . . . . . . . . . . .95 9780 . . . . . . . . . . .116 9781 . . . . . . . . . . .115 9782 . . . . . . . . . . .115 9785 . . . . . . . . . . .116 9786 . . . . . . . . . . .116 9788 . . . . . . . . . . .115 979xx . . . . . . . . . . . .95 9799 . . . . . . . . . . .115 9805 . . . . . . . . . . . .96 9811 . . . . . . . . . . . .98 9814 . . . . . . . . . . . .96 9821 . . . . . . . . . . .110 9822 . . . . . . . . . . .110 9823 . . . . . . . . . . .110 9839 . . . . . . . . .71, 98 9840 . . . . . . . . . . . .98 9873 . . . . . . . . . . . .98 9880 . . . . . . . . . . .110 Bxxx . . . . . . . . . . . . .93 BxxxB . . . . . . . . . . . .93 HB2214 . . . . . . . . .129 HB4414 . . . . . . . . .129 HB6614 . . . . . . . . .129 HBT0906 . . . . . . . .129 HBHD4450 . . . . . . .129 HBHD6675 . . . . . . .129 HBRF4414 . . . . . . .129 HBRF2258 . . . . . . .129 HBRF4475 . . . . . . .129 HBRF2650 . . . . . . .129

Hollister Incorporated

163

Index · Product Name

Name Page(s)

ActiFlo Accessories...........................................................................................109 ActiFlo Catheter Kits with Disposable Odor-Barrier Collection Bags......................108 ActiFlo Catheter Kits with Drainable Odor-Barrier Collection Bag .........................108 Adapt Odor Eliminator and Lubricant ....................................................................67 Adapt Ostomy Belts .............................................................................................68 Adapt Skin Barrier Accessories ............................................................................67 Adapt Skin Barrier Paste ......................................................................................67 Adapt Stoma Powder ...........................................................................................67 Adhesives and Removers .....................................................................................68 Advance Plus Touch Free Intermittent Catheter ....................................................94 Advance Plus Touch Free Intermittent Catheter System ........................................94 Anchor Fast Oral Endotracheal Tube Fastener ....................................................115 Apogee Plus System............................................................................................93 Apogee Plus System Kit .......................................................................................93 Apogee Intermittent Catheter ...............................................................................92 Bedside Drainage Collection System with Anti-Reflux Valve........................... 71, 98 CenterPointLock Closed Pouches ........................................................................75

CenterPointLock Drainable Pouches .............................................................. 74­75 CenterPointLock Flat Skin Barriers with Floating Flanges................................ 72­73 CenterPointLock Stoma Cap ................................................................................76 CenterPointLock Urostomy Pouches .............................................................. 75­76 Convex Skin Barriers with Floating Flanges.................................................... 73­74

Drainable Pouch Clamp ......................................................................................69 Drain Tube Attachment Device...........................................................................116 Everyday Male External Catheter .........................................................................95 Extended Wear Male External Catheter.................................................................95 Fabric Leg Bag Straps ........................................................................................97 Fecal Collectors .................................................................................................110 Feeding Tube Attachment Device .......................................................................116 Female Urinary Pouch External Collection Device ..................................................98 Hollister Universal Catheter Access Port ..............................................................49

Horizontal Tube Attachment Device ....................................................................115 Hydrofera Blue Foam Dressings .........................................................................129

InstaFlo Catheter Kit..........................................................................................108 InView Male External Catheters ............................................................................95 Irrigation Products ...............................................................................................70 Irrigator Sleeve ....................................................................................................76 Karaya 5 Closed Pouches ...................................................................................78 Karaya 5 Drainable Pouches ......................................................................... 77­78 Karaya 5 Urostomy Pouches ................................................................................78 Latex-Free Extension Tubing ...............................................................................97 Loop Ostomy Bridge ............................................................................................70 m9 Cleaner/Decrystallizer ...................................................................................69 m9 Odor Eliminators............................................................................................68 Male Urinary Pouch External Collection Device......................................................98

164

Hollister Incorporated

1.888.740.8999

Name

Page(s)

New Image Closed Pouches......................................................................... 32­33 New Image Convex Skin Barriers with Integrated Floating Flanges ................. 28­29 New Image Drainable Pouches ..................................................................... 30­31 New Image Flat Skin Barriers with Integrated Floating Flanges ....................... 25­27 New Image High Output Drainable Pouches .........................................................32 New Image Irrigator Sleeve ..................................................................................33 New Image Non Sterile Kits -- Drainable .............................................................34 New Image Non Sterile Kits -- Urostomy .............................................................34 New Image Sterile Kits -- Drainable ....................................................................35 New Image Sterile Kits -- Urostomy ....................................................................35 New Image Urostomy Pouches.............................................................................33 Other Closed Pouches ........................................................................................79 Other Stoma Cap.................................................................................................79 Pouchkins Newborn Pouch..................................................................................59 Pouchkins One-Piece Pouches...................................................................... 59­60 Pouchkins Pediatric Ostomy Belt ..........................................................................61 Pouchkins Premie Pouch .....................................................................................59 Pouchkins Two-Piece Pouches ..................................................................... 60­61 Pouchkins Two-Piece Skin Barrier........................................................................60 Premier Closed Pouches ............................................................................... 50­51 Premier Drainable Pouches with Convex Barriers........................................... 46­47 Premier Drainable Pouches with Flat Barriers ................................................ 41­46 Premier High Output Drainable Pouches...............................................................48 Premier Non Sterile Kits -- Drainable ........................................................... 52­53 Premier Non Sterile Kits -- Urostomy ..................................................................53 Premier Stoma Cap .............................................................................................51 Premier Urostomy Pouches with Convex Barriers ..................................................52 Premier Urostomy Pouches with Flat Barriers .......................................................51 Premier Wound Drainage Collectors .....................................................................49 Replacement Filters ............................................................................................71 Restore Adhesive Foam Dressing with TRIACT Technology .................................131 Restore Calcium Alginate Dressing Silver ...........................................................135 Restore Calcium Alginate Dressing.....................................................................135 Restore Cleanser & Moisturizer ..........................................................................138 Restore Contact Layer Dressing with Silver and TRIACT Technology ....................130 Restore Contact Layer Dressing with TRIACT Technology....................................130 Restore Contact Layer FLEX Dressing with TRIACT Technology ...........................130 Restore DimethiCreme Skin Protectant ...............................................................138 Restore DUO Absorbent Dressing with TRIACT Technology .................................131 Restore Extra Thin Hydrocolloid Dressing............................................................136 Restore Foam Border Dressing Featuring TRIACT ADVANCED Technology ...........133 Restore Foam Dressing without Border ..............................................................133 Featuring TRIACT ADVANCED Technology Restore Heel Dressing without Border ..............................................................133 Restore Hydrocolloid Dressing ............................................................................136 Restore Hydrocolloid Dressing with Foam Backing ..............................................136 Restore Hydrogel Dressing .................................................................................135

www.hollister.com

Hollister Incorporated

165

Index · Product Name

Name Page(s) Restore Hydro-Shield Foam Dressing .................................................................134 Restore Hydro-Shield Foam Dressing without Border ..........................................134 Restore LITE Foam Dressing without Border .......................................................133 Featuring TRIACT ADVANCED Technology Restore Non-Adhesive Foam Dressing with Silver and ........................................131 TRIACT Technology Restore Non-Adhesive Foam Dressing with TRIACT Technology ..........................131 Restore Odor-Absorbent Dressing ......................................................................136 Restore Skin Care Products .................................................................................69 Restore Skin Cleanser ................................................................................ 69, 138 Restore Skin Conditioning Creme .......................................................................138 Restore TRIO Absorbent Dressing, Adhesive, with TRIACT Technology ................132 Restore Wound Cleanser ...................................................................................137

Skin Barriers (Other) .................................................................................... 68, 71 Skin Barrier Pastes and Powders (Other) ..............................................................71 Skin Prepping Product .........................................................................................68 Suction Tube Attachment Device........................................................................116 Urinary Leg Bag..................................................................................................96

Urinary Leg Bag Combination Pack ......................................................................96 Urostomy Drain Tube Adapter ..............................................................................69

Vented Urinary Leg Bag Combination Pack ..........................................................96

Vertical Tube Attachment Device........................................................................115

166

Hollister Incorporated

1.888.740.8999

Index · HCPCS Codes

HCPCS A4326 A4328 A4330 A4331 A4349 A4351 A4352 A4353 A4357 A4358 A4362 A4363 A4364 A4367 A4368 A4371 A4373 A4385 A4387 A4388 A4389 A4390 A4394 A4397 A4398 A4399 A4402 A4405 A4406 A4407 A4408 A4409 A4410 A4411 A4412 A4414 A4415 A4416 A4417 A4418 A4419 A4421 A4424 A4425 A4428 A4429 A4430 A4432 A4455 A4456 A5052 A5054 Page(s) . . . . . . . . . . . . . . . . . . . . . . 98 . . . . . . . . . . . . . . . . . . . . . . 98 . . . . . . . . . . . . . . . . . . . . . 110 . . . . . . . . . . . . . . . . . . . . . . 97 . . . . . . . . . . . . . . . . . . . . . . 95 . . . . . . . . . . . . . . . . . . . . . . 92 . . . . . . . . . . . . . . . . . . . . . . 92 . . . . . . . . . . . . . . . . . . .93, 94 . . . . . . . . . . . . . . . . . . .71, 98 . . . . . . . . . . . . . . . . . . . . . . 96 . . . . . . . . . . . . . . . . . . .59, 71 . . . . . . . . . . . . . . . . . . . . . . 69 . . . . . . . . . . . . . . . . . . . . . . 68 . . . . . . . . . . . . . . . . . . .61, 68 . . . . . . . . . . . . . . . .71, 74, 77 . . . . . . . . . . . . . . . . . . .67, 71 . . . . . . . . . . . . . . . .28, 29, 74 . . . . . . . . . . . . . . . . . . .67, 68 . . . . . . . . . . . . . . . . . . . . . . 78 . . . . . . . . . . . . .41, 44, 45, 53 . . . . . . . . . . . . . . . . . . .77, 78 . . . . . . . . . . . . . . . . . . .46, 47 . . . . . . . . . . . . . . . . . . .67, 69 . . . . . . . . . . . . . . . .33, 70, 76 . . . . . . . . . . . . . . . . . . . . . . 70 . . . . . . . . . . . . . . . . . . . . . . 70 . . . . . . . . . . . . . . . . . . . . . . 70 . . . . . . . . . . . . . . . . . . . . . . 71 . . . . . . . . . . . . . . . . . . . . . . 67 . . . . . . . . . . . . . . . .28, 29, 73 . . . . . . . . . . . . . . . . . . . . . . 28 . . . 25, 26, 27, 34, 35, 72, 73 . . . . . . . . . . . . . . . . . . .25, 72 . . . . . . . . . . . . . . . . . . . . . . 67 . . . . . . . . . . . . . . . . . . .32, 75 . . . 25, 26, 34, 35, 60, 72, 73 . . . . . . . . . 25, 34, 35, 72, 73 . . . . . . . . . . . . . . . . . . .50, 51 . . . . . . . . . . . . . . . . . . . . . . 78 . . . . . . . . . . . . . . . . . . . . . . 79 . . . . . . . . . . . . . . . .32, 61, 75 . . . . . . . . . . . . . . . . . . .69, 70 . . . . . . . . . 42, 43, 45, 46, 59 . . . . . . . . . . . . .30, 31, 60, 74 . . . . . . . . . . . . . . . . . . .51, 53 . . . . . . . . . . . . . . . . . . . . . . 78 . . . . . . . . . . . . . . . . . . . . . . 52 . . . . . . 33, 34, 35, 61, 75, 76 . . . . . . . . . . . . . . . . . . . . . . 68 . . . . . . . . . . . . . . . . . . . . . . 68 . . . . . . . . . . . . . . . . . . . . . . 59 . . . . . . . . . . . . . . . . . . . . . . 33 HCPCS A5055 A5056 A5057 A5061 A5062 A5063 A5071 A5114 A5120 A5122 A5131 A5200 A6154 A6196 A6197 A6199 A6206 A6207 A6208 A6209 A6210 A6211 A6212 A6213 A6215 A6231 A6234 A6235 A6236 A6237 A6238 A6248 A6250 A6260 A6266 A9270 A9900 A9999 B9998 Page(s) . . . . . . . . . . . . . . . .51, 76, 79 . . . . . . . . . . . . . . . . . . . . . . 41 . . . . . . . . . . . . . . . . . . . . . . 46 . . . . . . 42, 43, 44, 52, 53, 59 . . . . . . . . . . . . . . . . . . . . . . 59 . . . 30, 31, 34, 35, 60, 74, 75 . . . . . . . . . . . . . . . . . . . . . . 60 . . . . . . . . . . . . . . . . . . . . . . 97 . . . . . . . . . . . . . . . . . . . . . . 68 . . . . . . . . . . . . . . . . . . . . . . 68 . . . . . . . . . . . . . . . . . . . . . . 69 . . . . . . . . . . . . . . . . .115, 116 . . . . . . . . . . . . . . . . . . .48, 49 . . . . . . . . . . . . . . . . . . . . . 135 . . . . . . . . . . . . . . . . . . . . . 135 . . . . . . . . . . . . . . . . . . . . . 135 . . . . . . . . . . . . . . . . . . . . . 130 . . . . . . . . . . . . . . . . . . . . . 130 . . . . . . . . . . . . . . . . . . . . . 130 . . . . 129, 131, 133, 134, 136 . . . . . . . . 129, 131, 133, 134 . . . . . . . . . . . . . . . . .134, 136 . . . . . . . . 129, 131, 133, 134 . . . . . . . . . . . . .131, 133, 134 . . . . . . . . . . . . . . . . . . . . . 129 . . . . . . . . . . . . . . . . . . . . . 135 . . . . . . . . . . . . . . . . .131, 136 . . . . . . . . . . . . . . . . .131, 136 . . . . . . . . . . . . . . . . . . . . . 136 . . . . . . . . . . . . . . . . . . . . . 132 . . . . . . . . . . . . . . . . . . . . . 132 . . . . . . . . . . . . . . . . . . . . . 135 . . . . . . . . . . . . . . . . . .70, 138 . . . . . . . . . . . . . . . . . . . . . 137 . . . . . . . . . . . . . . . . . . . . . 135 . . . . . . . . . . . . . . .69, 96, 138 . . . . . . . . . . . . . . . . . . . . . 115 . . . . . . . . . . . . . . . . .115, 116 . . . . . . . . . . . . . . . . . . . . . 116

www.hollister.com

Hollister Incorporated

167

Index · HCPCS Codes

168

Hollister Incorporated

1.888.740.8999

Hollister and logo, Hollister, ActiFlo, Adapt, Advance Plus, AF300, Anchor Fast, Apogee, Apogee Plus, CenterPointLock, ComfortWear, Extended Wear, Everyday, Flextend, FlexWear, FormaFlex, HolliHesive, InstaFlo, InView, Karaya 5, Lock 'n Roll, m9, New Image, Pouchkins, Premier, Premium, QuietWear, and SoftFlex are trademarks of Hollister Incorporated. C3Life, Secure Start, and "Hollister Ostomy. Details Matter." are service marks of Hollister Incorporated. Hollisterwoundcare and wave logo are trademarks of Hollister Incorporated. Restore, Hydro-Shield and graphic, Restore DUO, Restore TRIO, TRIACT, TRIACT ADVANCED and graphic are trademarks of Hollister Wound Care LLC. ConnectEd is a service mark of Hollister Wound Care LLC. Hydrofera Blue is a trademark of Hydrofera, LLC. Shadow Buddies is a trademark of Shadow Buddies. Teflon is a trademark of E.I. du Pont de Nemours and Company. Coloplast and SenSura are trademarks of Coloplast A/S. ConvaTec and SUR-FIT Natura are trademarks of ConvaTec, LLC. Zassi is a trademark of Zassi Medical Evolutions, Inc. © 2012 Hollister Incorporated. Printed in USA.

Hollister Consumer Programs

For consumer and healthcare professional product questions and sampling needs:

1.888.740.8999

For dealers, distributors, institutions, and pharmacy questions or orders:

1.800.323.4060 fax 1.847.680.1017

For helping new patients adjust to life with an ostomy or bladder management: Secure Start Services

1.888.808.7456

For additional information on Hollister Wound Care:

www.hollisterwoundcare.com

For helping patients and families dealing with Epidermolysis Bullosa (EB) contact our EB Resources Hotline:

1.888.EB AID4U (1.888.322.4348)

Hollister Incorporated 2000 Hollister Drive Libertyville, Illinois 60048 USA www.hollister.com

© 2012 Hollister Incorporated. Printed in USA. 921867-112

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